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EBERECHUKWU AGULANNA PMHNP-BC
NPI 1316756174
Nurse Practitioner - Psychiatric/Mental Health in Waterford, MI

Active since January 06, 2025PECOS Enrolled
4515 HIGHLAND RD STE 800, WATERFORD, MI 48328(810) 884-6225(313) 241-9386 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 20, 2026, Mar 6, 2026, Nov 11, 2025 and 1 more (4 updates tracked since 2025).

About Eberechukwu Agulanna Pmhnp-bc NPPES

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

EBERECHUKWU AGULANNA PMHNP-BC (NPI 1316756174) is an individual psychiatric/mental health provider in Waterford, Michigan, licensed in Michigan (4704369300) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1316756174
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEBERECHUKWU AGULANNACredential: PMHNP-BC
Location Address4515 HIGHLAND RD STE 800Waterford, MI 48328-1132
Mailing Address4515 Highland Rd Ste 800Waterford, MI 48328-1132 · (810) 884-6225 · Fax (313) 241-9386
Phone(810) 884-6225
Fax(313) 241-9386
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 6, 2025
Last NPPES UpdateMarch 20, 20264 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1316756174 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 MI · 4704369300
4515 HIGHLAND RD STE 800, Waterford, MI 48328
Open in Google Maps ↗

Other Names 1

Professional Name (2)Ebere Agulanna Pmhnp-bc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eberechukwu Agulanna Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365915873
PECOS Enrollment IDI20260625004109
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 48328 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

CLEAR STAR WELLNESS AND STAFFING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4515 HIGHLAND RD STE 800
WATERFORD, MI 48328
Oakland County (810) 884-6225

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 Eberechukwu Agulanna's NPI number?

The NPI number for Eberechukwu Agulanna is 1316756174. It was assigned to this individual provider in the NPPES registry on January 6, 2025. The provider is also known as Ebere Agulanna Pmhnp-Bc.

Where is Eberechukwu Agulanna located?

Eberechukwu Agulanna practices at 4515 Highland Rd Ste 800, Waterford, MI 48328. The listed phone number is (810) 884-6225.

What is Eberechukwu Agulanna's specialty?

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

Is Eberechukwu Agulanna enrolled in Medicare?

Yes. Eberechukwu Agulanna is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eberechukwu Agulanna was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.