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

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: August 02, 2026.

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

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 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

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.

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.

What insurance does Munachi Ezenwata accept?

Health plans from Providence Health Plan 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 5 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.