EZINWANNE JUDITH IROBEREACHI
NPI 1184221236
Nurse Practitioner - Psychiatric/Mental Health in Edgewood, MD

Q: What is Ezinwanne Irobereachi's NPI number?

The NPI number for Ezinwanne Irobereachi is 1184221236. It was assigned to this individual provider in the NPPES registry on October 1, 2020.

Q: What is Ezinwanne Irobereachi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 01, 2020PECOS EnrolledAccepts Medicare Assignment

2203 PHILADELPHIA RD, EDGEWOOD, MD 21040(410) 612-0275(410) 612-0287 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 2, 2023, Jan 3, 2022, Sep 30, 2021 and 2 more (5 updates tracked since 2020).

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About Ezinwanne Judith Irobereachi NPPES

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

EZINWANNE JUDITH IROBEREACHI (NPI 1184221236) is an individual psychiatric/mental health provider in Edgewood, Maryland, licensed in Maryland (R182841) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1184221236

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameEZINWANNE JUDITH IROBEREACHI

Location Address2203 PHILADELPHIA RDEdgewood, MD 21040-1109

Mailing Address15802 Pacific CtBowie, MD 20716-1632 · (301) 377-9313

Phone(410) 612-0275

Fax(410) 612-0287

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 1, 2020

Last NPPES UpdateFebruary 2, 20235 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2023

✔ NPI 1184221236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MD · R182841

2203 PHILADELPHIA RD, Edgewood, MD 21040

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ezinwanne Judith Irobereachi is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143622548

PECOS Enrollment IDI20210707003683, I20211022000013

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21040 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

Most-billed visit code 99214

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 5

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

GLOBAL HEALTHCARE SYSTEMS, INC

Clinic/Center (Urgent Care)