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JOHN NDUBUISI UDO FNP, APRN
NPI 1225836471
Nurse Practitioner - Family in Las Vegas, NV

Active since March 04, 2025PECOS EnrolledAccepts Medicare Assignment
1721 E CHARLESTON BLVD, LAS VEGAS, NV 89104(702) 685-0620(702) 685-9674 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2025, Mar 4, 2025 (2 updates tracked since 2025).

About John Ndubuisi Udo Fnp, Aprn NPPES

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

JOHN NDUBUISI UDO FNP, APRN (NPI 1225836471) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (849359) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1225836471
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN NDUBUISI UDOCredential: FNP, APRN
Location Address1721 E CHARLESTON BLVDLas Vegas, NV 89104-1902
Mailing Address6325 Foxlyn AveLas Vegas, NV 89122-0832 · (702) 487-0013
Phone(702) 685-0620
Fax(702) 685-9674
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 4, 2025
Last NPPES UpdateMay 9, 20252 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1225836471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NV · 849359
1721 E CHARLESTON BLVD, Las Vegas, NV 89104
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.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

John Ndubuisi Udo Fnp, Aprn 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 ID4082133459
PECOS Enrollment IDI20250529000302
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

2

Medicare enrollment records show John Udo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bernard Addo-Quaye MD PC
Same address
Family Medicine
1721 E CHARLESTON BLVD FL 3
Las Vegas, NV 89104
  • Reassigned Medicare billing, Nevada enrollment
  • 4 clinicians in this Medicare group
NPI 1629079884 (702) 685-0620
Ebonny Behavioral Care Services Corporation
Same address
Primary Care
1721 E CHARLESTON BLVD STE 300
Las Vegas, NV 89104
  • Reassigned Medicare billing, Nevada enrollment
  • 2 clinicians in this Medicare group
NPI 1467801134 (026) 850-6207

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 89104 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.

Other Providers at the Same Location NPPES 20

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

OZOMOR LLC
Clinic/Center (Primary Care)
1721 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 515-9680
EBONNY VENTURES LLC
Psychiatry & Neurology (Psychiatry)
1721 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 515-9680
VEGAS INNOVATIVE PSYCHIATRY
Clinic/Center (Multi-Specialty)
1721 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 685-0620
LAURA E GRIFFIN QMHA
Counselor (Professional)
1721 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 685-0620
MELISA STEPHENS
Community Health Worker
1721 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 685-0620
NEVADA INTEGRATED BEHAVIORAL SERVICES INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
1721 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County No phone listed
ADELA NEDZWECKAS A.A, B.A
Community Health Worker
1721 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 685-0620
NEVADA INTEGRATED BEHAVIORAL SERVICES INC.
Social Worker
1721 E CHARLESTON BLVD
LAS VEGAS, NV 89104
Clark County (702) 515-9680

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 John Udo's NPI number?

The NPI number for John Udo is 1225836471. It was assigned to this individual provider in the NPPES registry on March 4, 2025.

Where is John Udo located?

John Udo practices at 1721 E Charleston Blvd, Las Vegas, NV 89104. The listed phone number is (702) 685-0620.

What is John Udo's specialty?

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

Is John Udo enrolled in Medicare?

Yes. John Udo 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 John Udo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Udo reassigns Medicare benefits to 2 organizations: Bernard Addo-Quaye MD PC (Las Vegas, NV) and Ebonny Behavioral Care Services Corporation (Las Vegas, NV). 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 John Udo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Udo accept?

Health plans from Ambetter Health list John Udo 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 John Udo was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.