MR. IFEANYI C MADU NURSE PRACTITIONER
NPI 1295295038
Nurse Practitioner - Family in Henderson, NV

Active since March 20, 2019PECOS Enrolled
390 W LAKE MEAD PKWY STE 120, HENDERSON, NV 89015(725) 220-8477(833) 749-0360 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 28, 2021, Jun 23, 2021, Jan 7, 2020 and 2 more (5 updates tracked since 2019).

About Mr. Ifeanyi C Madu Nurse Practitioner NPPES

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

MR. IFEANYI C MADU NURSE PRACTITIONER (NPI 1295295038) is an individual family provider in Henderson, Nevada, licensed in Nevada (818778) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295295038
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. IFEANYI C MADUCredential: NURSE PRACTITIONER
Location Address390 W LAKE MEAD PKWY STE 120Henderson, NV 89015-7417
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168
Fax(833) 749-0360
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 20, 2019
Last NPPES UpdateFebruary 19, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
✔ NPI 1295295038 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 NV · 818778
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 818778 (NV)
390 W LAKE MEAD PKWY STE 120, Henderson, NV 89015

Other Names 1

Professional Name (2)Mr. Ifeanyi John Madu Aprn

Secondary Practice Locations 2

Location 1785 Calamus Palm PlHenderson, NV 89011-2648 · Phone (310) 808-4346
Location 21470 E Calvada Blvd Ste 100Pahrump, NV 89048-3906 · Phone (775) 210-8338 · Fax (775) 346-9158

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ifeanyi C Madu Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860729647
PECOS Enrollment IDI20190816001757
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

10

Medicare enrollment records show Ifeanyi Madu reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
390 W LAKE MEAD PKWY STE 120
Henderson, NV 89015
  • Reassigned Medicare billing, Nevada enrollment
  • Medicare enrollment name: Centerwell Senior Primary Care Nv P C
  • 84 clinicians in this Medicare group
Community/Behavioral Health
2200 PASEO VERDE PKWY STE 190
Henderson, NV 89052
  • Reassigned Medicare billing, Nevada enrollment
  • 157 clinicians in this Medicare group
Family Medicine
880 SEVEN HILLS DR STE 140
Henderson, NV 89052
  • Reassigned Medicare billing, Nevada enrollment
  • Medicare enrollment name: Bacchus Wakefield Kahan PC
  • 61 clinicians in this Medicare group
Psychiatry
1600 E DESERT INN RD STE 104
Las Vegas, NV 89169
  • Reassigned Medicare billing, Nevada enrollment
  • 5 clinicians in this Medicare group
Primary Care
1600 E DESERT INN RD STE 200
Las Vegas, NV 89169
  • Reassigned Medicare billing, Nevada enrollment
General Practice
855 E TWAIN AVE STE 105
Las Vegas, NV 89169
  • Reassigned Medicare billing, Nevada enrollment
  • 12 clinicians in this Medicare group
Family Medicine
6268 SPRING MOUNTAIN RD STE 115B
Las Vegas, NV 89146
  • Reassigned Medicare billing, Nevada enrollment
  • 21 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2830 S JONES BLVD STE 3
Las Vegas, NV 89146
  • Reassigned Medicare billing, Nevada enrollment
  • 8 clinicians in this Medicare group
Community/Behavioral Health
8120 DOLCE FLORE AVE
Las Vegas, NV 89178
  • Reassigned Medicare billing, Nevada enrollment
  • 6 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Nevada enrollment
  • 206 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.

Areas of Expertise CMS Part B claims 17

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.

Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional 95983
This procedure involves a medical professional using electronic equipment to analyze and adjust your implanted neurostimulator, which helps manage nerve activity in your brain, spinal cord, or peripheral nerves. The process typically takes 15 minutes.
2,618 services49 patients
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.
1,898 services72 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
1,534 services61 patients
Therapy procedure for a range of mental processes, initial 15 minutes 97129
This therapy session, lasting 15 minutes, focuses on improving your mental processes. It's an initial step towards understanding your mental health needs. The therapist will engage in conversation, listen to your concerns, and help identify areas for improvement.
843 services49 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
460 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
424 services79 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89015 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims17 services$112.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Internal Medicine
390 W LAKE MEAD PKWY STE 120
HENDERSON, NV 89015
Family Medicine
390 W LAKE MEAD PKWY STE 120
HENDERSON, NV 89015
Nurse Practitioner (Gerontology)
390 W LAKE MEAD PKWY STE 120
HENDERSON, NV 89015
Internal Medicine
390 W LAKE MEAD PKWY STE 120
HENDERSON, NV 89015
Internal Medicine
390 W LAKE MEAD PKWY STE 120
HENDERSON, NV 89015
Family Medicine
390 W LAKE MEAD PKWY STE 120
HENDERSON, NV 89015
Nurse Practitioner (Family)
390 W LAKE MEAD PKWY STE 120
HENDERSON, NV 89015
Nurse Practitioner (Family)
390 W LAKE MEAD PKWY STE 120
HENDERSON, NV 89015

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 Ifeanyi Madu's NPI number?

The NPI number for Ifeanyi Madu is 1295295038. It was assigned to this individual provider in the NPPES registry on March 20, 2019. The provider is also known as Mr. Ifeanyi John Madu Aprn.

Where is Ifeanyi Madu located?

Ifeanyi Madu practices at 390 W Lake Mead Pkwy Ste 120, Henderson, NV 89015. The listed phone number is (725) 220-8477.

What is Ifeanyi Madu's specialty?

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

Is Ifeanyi Madu enrolled in Medicare?

Yes. Ifeanyi Madu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ifeanyi Madu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ifeanyi Madu reassigns Medicare benefits to 10 organizations: Centerwell Senior Primary Care (nv) PC (Henderson, NV), Behavioral Health Solutions LLC (Henderson, NV), Bacchus PC (Henderson, NV), Great Mind Counseling And Wellness Center LLC (Las Vegas, NV), Relief Healthcare Of Nevada (Las Vegas, NV) and 5 more organizations, listed in the Medicare section above. 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 Ifeanyi Madu'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 Ifeanyi Madu was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.