MUNACHI QUEENA EZENWATA FNP, PMHNP
NPI 1194356733
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Q: What is Munachi Ezenwata's NPI number?

The NPI number for Munachi Ezenwata is 1194356733. It was assigned to this individual provider in the NPPES registry on February 2, 2020. The provider is also known as Munachi Queena Okoro Fnp.

Q: What is Munachi Ezenwata's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Munachi Ezenwata was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 February 02, 2020PECOS EnrolledAccepts Medicare Assignment

4045 SPENCER ST STE 300, LAS VEGAS, NV 89119(702) 486-3800(702) 486-5550 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 8, 2023, Feb 2, 2020 (2 updates tracked since 2020).

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About Munachi Queena Ezenwata Fnp, Pmhnp NPPES

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

MUNACHI QUEENA EZENWATA FNP, PMHNP (NPI 1194356733) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (824487) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194356733

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMUNACHI QUEENA EZENWATACredential: FNP, PMHNP

Location Address4045 SPENCER ST STE 300Las Vegas, NV 89119-9304

Mailing AddressPo Box 3055 Saint Rose ParkwayHenderson, NV 89077 · (630) 795-9110

Phone(702) 486-3800

Fax(702) 486-5550

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 2, 2020

Last NPPES UpdateFebruary 23, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2026

✔ NPI 1194356733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0808X

License✔ Licensed in NV · 824487

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 824487 (NV)

4045 SPENCER ST STE 300, Las Vegas, NV 89119

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Other Names 1

Former Name (1)Munachi Queena Okoro Fnp

Secondary Practice Location 1

Location 11721 E Charleston BlvdLas Vegas, NV 89104-1902 · Phone (702) 685-0620

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Munachi Queena Ezenwata Fnp, Pmhnp 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 ID749611598

PECOS Enrollment IDI20200511001788

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 Reassignments

Medicare enrollment records show Munachi Ezenwata reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optimal Mental Health Clinic

1.9 mi

Adult Mental Health

4760 S PECOS RD
Las Vegas, NV 89121

Reassigned Medicare billing, Nevada enrollment

NPI 1487419057 (725) 200-1050

Southern Nevada Adult Mental Health

6.2 mi

Adult Mental Health

6161 W CHARLESTON BLVD
Las Vegas, NV 89146

Reassigned Medicare billing, Nevada enrollment
Medicare enrollment name: State Of Nevada
143 clinicians in this Medicare group

NPI 1891756920 (702) 486-6000

Medtrans Reno Casal, PLLC

347 mi

Family Medicine

890 MILL ST FL 4
Reno, NV 89502

Reassigned Medicare billing, Nevada enrollment
Medicare enrollment name: Medtrans Behavioral Nevada Casal PLLC
65 clinicians in this Medicare group

NPI 1790236180 (775) 538-6700

Mindful Therapy Group PC

887 mi

Clinical

6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043

Reassigned Medicare billing, Nevada enrollment
25 clinicians in this Medicare group

NPI 1316238678 (425) 640-7009

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 89119 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

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 Munachi Ezenwata's NPI number?

The NPI number for Munachi Ezenwata is 1194356733. It was assigned to this individual provider in the NPPES registry on February 2, 2020. The provider is also known as Munachi Queena Okoro Fnp.

Where is Munachi Ezenwata located?

Munachi Ezenwata practices at 4045 Spencer St Ste 300, Las Vegas, NV 89119. The listed phone number is (702) 486-3800.

What is Munachi Ezenwata's specialty?

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

Is Munachi Ezenwata enrolled in Medicare?

Yes. Munachi Ezenwata is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Munachi Ezenwata's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Munachi Ezenwata reassigns Medicare benefits to 4 organizations: Optimal Mental Health Clinic (Las Vegas, NV), Southern Nevada Adult Mental Health (Las Vegas, NV), Medtrans Reno Casal, PLLC (Reno, NV) and Mindful Therapy Group PC (Mountlake Terrace, WA). Each 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 Munachi Ezenwata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Munachi Ezenwata accept?

Health plans from Molina Healthcare list Munachi Ezenwata 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 Munachi Ezenwata was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.