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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENECHUKWU EZEANYA PMHNP-BC
NPI 1285220764
Nurse Practitioner - Psychiatric/Mental Health in Somerset, NJ

Active since December 18, 2020PECOS EnrolledAccepts Medicare Assignment
100 FRANKLIN SQUARE DR STE 410, SOMERSET, NJ 08873(732) 558-9625(973) 548-9450 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2025, Nov 29, 2025, Apr 12, 2025 and 2 more (5 updates tracked since 2020).

About Kenechukwu Ezeanya Pmhnp-bc NPPES

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

KENECHUKWU EZEANYA PMHNP-BC (NPI 1285220764) is an individual psychiatric/mental health provider in Somerset, New Jersey, licensed in New Jersey (26NJ15281600) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1285220764
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKENECHUKWU EZEANYACredential: PMHNP-BC
Location Address100 FRANKLIN SQUARE DR STE 410Somerset, NJ 08873-4109
Mailing Address100 Franklin Square Dr Ste 410Somerset, NJ 08873-4109 · (732) 558-9625 · Fax (973) 548-9450
Phone(732) 558-9625
Fax(973) 548-9450
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 18, 2020
Last NPPES UpdateJune 17, 20265 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1285220764 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 NJ · 26NJ15281600
Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, GeropsychiatricTaxonomy 364SP0813X · License 26NJ15281600 (NJ)
100 FRANKLIN SQUARE DR STE 410, Somerset, NJ 08873
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Kenechukwu Ezeanya Pmhnp-bc 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 ID4284150590
PECOS Enrollment IDI20250430000418
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 08873 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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

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

HOLISTIC PSYC PROVIDER
Nurse Practitioner (Psychiatric/Mental Health)
100 FRANKLIN SQUARE DR STE 410
SOMERSET, NJ 08873
Somerset County (732) 558-9625

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 Kenechukwu Ezeanya's NPI number?

The NPI number for Kenechukwu Ezeanya is 1285220764. It was assigned to this individual provider in the NPPES registry on December 18, 2020.

Where is Kenechukwu Ezeanya located?

Kenechukwu Ezeanya practices at 100 Franklin Square Dr Ste 410, Somerset, NJ 08873. The listed phone number is (732) 558-9625.

What is Kenechukwu Ezeanya's specialty?

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

Is Kenechukwu Ezeanya enrolled in Medicare?

Yes. Kenechukwu Ezeanya 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.

When was this NPI record last updated?

The NPPES record for Kenechukwu Ezeanya was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.