MR. IGBINOGHODUA JONATHAN EDOMWONYI MSN, PMHNP-BC.
NPI 1235978297
Nurse Practitioner - Psychiatric/Mental Health in Fort Lauderdale, FL

Q: What is Igbinoghodua Edomwonyi's NPI number?

The NPI number for Igbinoghodua Edomwonyi is 1235978297. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Q: What is Igbinoghodua Edomwonyi's specialty?

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

Active since May 20, 2024PECOS Enrolled

3800 W BROWARD BLVD STE 101, FORT LAUDERDALE, FL 33312(954) 271-0291 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mr. Igbinoghodua Jonathan Edomwonyi Msn, Pmhnp-bc. NPPES

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

MR. IGBINOGHODUA JONATHAN EDOMWONYI MSN, PMHNP-BC. (NPI 1235978297) is an individual psychiatric/mental health provider in Fort Lauderdale, Florida, licensed in Florida (11032287) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235978297

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. IGBINOGHODUA JONATHAN EDOMWONYICredential: MSN, PMHNP-BC.

Location Address3800 W BROWARD BLVD STE 101Fort Lauderdale, FL 33312-1018

Mailing Address3800 W Broward Blvd Ste 101Fort Lauderdale, FL 33312-1018 · (954) 271-0291

Phone(954) 271-0291

Sole ProprietorYes

Enumeration DateMay 20, 2024

NPPES CertifiedMay 18, 2024

✔ NPI 1235978297 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 FL · 11032287

3800 W BROWARD BLVD STE 101, Fort Lauderdale, FL 33312

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Igbinoghodua Jonathan Edomwonyi Msn, Pmhnp-bc. 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 Igbinoghodua Edomwonyi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prestige Recovery And Suboxone Clinic LLC

Same address

Psychiatry

3800 W BROWARD BLVD
Fort Lauderdale, FL 33312

Reassigned Medicare billing, Florida enrollment
12 clinicians in this Medicare group

NPI 1215623624 (954) 496-2599

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

259 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33312 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

MISS NOSA ERHABOR APRN

Nurse Practitioner (Family)

3800 W BROWARD BLVD STE 101
FORT LAUDERDALE, FL 33312

Broward County (954) 440-0983

ADVANCED WOUND CARE SOLUTION

Clinic/Center (Multi-Specialty)

3800 W BROWARD BLVD STE 101
FORT LAUDERDALE, FL 33312

Broward County (804) 282-4181

PLANTATION URGENT CARE CENTERS LLC

Clinic/Center (Urgent Care)

3800 W BROWARD BLVD STE 101
FORT LAUDERDALE, FL 33312

Broward County (954) 440-0983

INSTITUTE OF PHYSIOLOGIC INSULIN RESENSITIZATION LLC

Internal Medicine (Endocrinology, Diabetes & Metabolism)

3800 W BROWARD BLVD STE 101
FORT LAUDERDALE, FL 33312

Broward County (954) 440-0983

PRESTIGE SPORTS AND REGENERATIVE MEDICINE LLC

Physical Therapist

3800 W BROWARD BLVD STE 101
FT LAUDERDALE, FL 33312

Broward County (469) 915-4211

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 Igbinoghodua Edomwonyi's NPI number?

The NPI number for Igbinoghodua Edomwonyi is 1235978297. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Igbinoghodua Edomwonyi located?

Igbinoghodua Edomwonyi practices at 3800 W Broward Blvd Ste 101, Fort Lauderdale, FL 33312. The listed phone number is (954) 271-0291.

What is Igbinoghodua Edomwonyi's specialty?

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

Is Igbinoghodua Edomwonyi enrolled in Medicare?

Yes. Igbinoghodua Edomwonyi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Igbinoghodua Edomwonyi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Igbinoghodua Edomwonyi reassigns Medicare benefits to Prestige Recovery And Suboxone Clinic LLC (Fort Lauderdale, FL). 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 Igbinoghodua Edomwonyi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Igbinoghodua Edomwonyi accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 2 other insurers list Igbinoghodua Edomwonyi 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 Igbinoghodua Edomwonyi was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.