DR. ADAEZE ASHLEY NNABUE OD
NPI 1174369508
Optometrist in Mitchellville, MD

Q: What is Adaeze Nnabue's NPI number?

The NPI number for Adaeze Nnabue is 1174369508. It was assigned to this individual provider in the NPPES registry on July 4, 2024.

Q: What is Adaeze Nnabue's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Adaeze Nnabue was last updated on July 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 04, 2024PECOS Enrolled

10240 LAKE ARBOR WAY, MITCHELLVILLE, MD 20721(301) 324-9500(301) 324-9502 Get Directions Write a Review

NPPES record last updated: July 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Adaeze Ashley Nnabue Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ADAEZE ASHLEY NNABUE OD (NPI 1174369508) is an individual optometrist in Mitchellville, Maryland, licensed in Maryland (TA3009) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174369508

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. ADAEZE ASHLEY NNABUECredential: OD

Location Address10240 LAKE ARBOR WAYMitchellville, MD 20721-3113

Mailing Address10240 Lake Arbor WayMitchellville, MD 20721-3113 · (301) 324-9500 · Fax (301) 324-9502

Phone(301) 324-9500

Fax(301) 324-9502

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 4, 2024

NPPES CertifiedJuly 4, 2024

✔ NPI 1174369508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MD · TA3009

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

10240 LAKE ARBOR WAY, Mitchellville, MD 20721

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Adaeze Ashley Nnabue Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113451410

PECOS Enrollment IDI20241126003121

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Adaeze Nnabue reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr. Alexander C Nnabue And Associates PA

10 mi

Corneal and Contact Management

8931 WOODYARD RD
Clinton, MD 20735

Reassigned Medicare billing, District of Columbia enrollment
5 clinicians in this Medicare group

NPI 1245479336 (301) 877-1770

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20721 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALEXANDER CHUKWUEMEKA NNABUE O.D

Optometrist

10240 LAKE ARBOR WAY
MITCHELLVILLE, MD 20721

Prince George's County (301) 324-9500

DR ALEXANDER C. NNABUE AND ASSOCIATES,PA

Optometrist

10240 LAKE ARBOR WAY
MITCHELLVILLE, MD 20721

Prince George's County (301) 324-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adaeze Nnabue's NPI number?

The NPI number for Adaeze Nnabue is 1174369508. It was assigned to this individual provider in the NPPES registry on July 4, 2024.

Where is Adaeze Nnabue located?

Adaeze Nnabue practices at 10240 Lake Arbor Way, Mitchellville, MD 20721. The listed phone number is (301) 324-9500.

What is Adaeze Nnabue's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Adaeze Nnabue enrolled in Medicare?

Yes. Adaeze Nnabue is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adaeze Nnabue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adaeze Nnabue reassigns Medicare benefits to Dr. Alexander C Nnabue And Associates PA (Clinton, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adaeze Nnabue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adaeze Nnabue accept?

Health plans from Providence Health Plan list Adaeze Nnabue as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adaeze Nnabue was last updated on July 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.