MIRIAM CHYNWE EZENWAKA
NPI 1356061717
Nurse Practitioner - Psychiatric/Mental Health in Washington, DC
About Miriam Chynwe Ezenwaka NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRIAM CHYNWE EZENWAKA (NPI 1356061717) is an individual psychiatric/mental health provider in Washington, District Of Columbia, licensed in District Of Columbia (NP500015019) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Upper Marlboro, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Miriam Chynwe Ezenwaka 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.
Medicare Billing Reassignments
3Medicare enrollment records show Miriam Ezenwaka reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Washington, DC 20019
- Reassigned Medicare billing, District of Columbia enrollment
- 86 clinicians in this Medicare group
Rockville, MD 20854
- Reassigned Medicare billing, District of Columbia enrollment
- 8 clinicians in this Medicare group
Catonsville, MD 21228
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 4 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WASHINGTON, DC 20011
WASHINGTON, DC 20011
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 Miriam Ezenwaka's NPI number?
The NPI number for Miriam Ezenwaka is 1356061717. It was assigned to this individual provider in the NPPES registry on August 29, 2022.
Where is Miriam Ezenwaka located?
Miriam Ezenwaka practices at 1221 Taylor St NW, Washington, DC 20011. The listed phone number is (202) 464-9200.
What is Miriam Ezenwaka's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Miriam Ezenwaka enrolled in Medicare?
Yes. Miriam Ezenwaka 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.
Which organizations bill Medicare for Miriam Ezenwaka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Ezenwaka reassigns Medicare benefits to 3 organizations: Mbi Health Services LLC (Washington, DC), Vigor Integrative Wellness LLC (Rockville, MD) and Hanei Health Solutions, LLC (Catonsville, MD). 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 Miriam Ezenwaka'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 Miriam Ezenwaka was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Miriam Chynwe Ezenwaka · NPI 1356061717
Psychiatric/Mental Health physician in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since August 29, 2022.
## Identity
- **NPI:** 1356061717 (Entity type: Individual)
- **Enumerated:** August 29, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** NP500015019 (District of Columbia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1221 TAYLOR ST NW, Washington, DC 20011-5617
- **Phone:** (202) 464-9200 · **Fax:** (202) 291-2160
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mbi Health Services LLC (NPI 1396048070, Washington, DC); Vigor Integrative Wellness LLC (NPI 1154036549, Rockville, MD); Hanei Health Solutions, LLC (NPI 1902435365, Catonsville, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1356061717) · Data from the CMS NPPES public registry.