ENIAYO EGBERONGBE
NPI 1295263515
Nurse Practitioner - Psychiatric/Mental Health in Cranston, RI

Q: What is Eniayo Egberongbe's NPI number?

The NPI number for Eniayo Egberongbe is 1295263515. It was assigned to this individual provider in the NPPES registry on May 31, 2017.

Q: What is Eniayo Egberongbe's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eniayo Egberongbe was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 31, 2017PECOS EnrolledAccepts Medicare Assignment

1150 RESERVOIR AVE STE 203, CRANSTON, RI 02920(401) 259-0340(401) 259-0340 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 29, 2021, Jan 24, 2019, Jan 10, 2019 and 2 more (5 updates tracked since 2017).

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About Eniayo Egberongbe NPPES

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

ENIAYO EGBERONGBE (NPI 1295263515) is an individual psychiatric/mental health provider in Cranston, Rhode Island, licensed in Rhode Island (APRN01722) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1295263515

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameENIAYO EGBERONGBE

Location Address1150 RESERVOIR AVE STE 203Cranston, RI 02920-6043

Mailing Address1150 Reservoir Ave Ste 203Cranston, RI 02920-6043 · (401) 259-0340 · Fax (401) 213-8538

Phone(401) 259-0340

Fax(401) 259-0340

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateMay 31, 2017

Last NPPES UpdateJune 29, 20215 updates tracked since enumeration

NPPES CertifiedJune 29, 2021

✔ NPI 1295263515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in RI · APRN01722✔ Licensed in MA · RN2330024

Also ListedRegistered NurseTaxonomy 163W00000X · License RN2330024 (MA)

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 681574 (NY)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN01722 (RI)

1150 RESERVOIR AVE STE 203, Cranston, RI 02920

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Other Identifiers 1

Medicaid363LP0808XRI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Eniayo Egberongbe 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 ID6406114339

PECOS Enrollment IDI20171221001957

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

78 services18 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

62 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02920 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

REBECCA STEVENSON APRN

Nurse Practitioner (Psychiatric/Mental Health)