MRS. IZODUWA LUCINDA EKUNWE NP
NPI 1215745005
Nurse Practitioner - Family in Clinton, MS

Active since December 25, 2024PECOS Enrolled
131 DUNLEITH WAY, CLINTON, MS 39056(601) 718-7008 Get Directions Write a Review

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

About Mrs. Izoduwa Lucinda Ekunwe Np NPPES

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

MRS. IZODUWA LUCINDA EKUNWE NP (NPI 1215745005) is an individual family provider in Clinton, Mississippi, licensed in Mississippi (F10240227) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215745005
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. IZODUWA LUCINDA EKUNWECredential: NP
Location Address131 DUNLEITH WAYClinton, MS 39056-5456
Mailing Address131 Dunleith WayClinton, MS 39056-5456 · (601) 718-7008
Sole ProprietorYes
Enumeration DateDecember 25, 2024
NPPES CertifiedDecember 25, 2024
✔ NPI 1215745005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · F10240227
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 915702 (MS)
131 DUNLEITH WAY, Clinton, MS 39056

Other Names 1

Professional Name (2)Mrs. Izoduwa Lucinda Ekunwe Np

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Izoduwa Lucinda Ekunwe Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Izoduwa Ekunwe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Mississippi enrollment
  • 202 clinicians in this Medicare group

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 39056 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 Izoduwa Ekunwe's NPI number?

The NPI number for Izoduwa Ekunwe is 1215745005. It was assigned to this individual provider in the NPPES registry on December 25, 2024. The provider is also known as Mrs. Izoduwa Lucinda Ekunwe Np.

Where is Izoduwa Ekunwe located?

Izoduwa Ekunwe practices at 131 Dunleith Way, Clinton, MS 39056. The listed phone number is (601) 718-7008.

What is Izoduwa Ekunwe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Izoduwa Ekunwe enrolled in Medicare?

Yes. Izoduwa Ekunwe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Izoduwa Ekunwe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Izoduwa Ekunwe reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). 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 Izoduwa Ekunwe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Izoduwa Ekunwe was last updated on December 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.