CHISOM MIRABEL MBACHU
NPI 1316649379
Nurse Practitioner - Family in Brecksville, OH

Q: What is Chisom Mbachu's NPI number?

The NPI number for Chisom Mbachu is 1316649379. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Q: What is Chisom Mbachu's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Chisom Mbachu was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 21, 2023PECOS Enrolled

6930 TREELINE DR, BRECKSVILLE, OH 44141(312) 761-3057 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Chisom Mirabel Mbachu NPPES

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

CHISOM MIRABEL MBACHU (NPI 1316649379) is an individual family provider in Brecksville, Ohio, licensed in Ohio (0032659) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316649379

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCHISOM MIRABEL MBACHU

Location Address6930 TREELINE DRBrecksville, OH 44141-3371

Mailing Address5706 Alber AveParma, OH 44129-3331 · (440) 482-3129

Phone(312) 761-3057

Sole ProprietorNo

Enumeration DateMarch 21, 2023

NPPES CertifiedMarch 21, 2023

✔ NPI 1316649379 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 OH · 0032659

6930 TREELINE DR, Brecksville, OH 44141

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chisom Mirabel Mbachu 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44141 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Leave this field empty