MIRIAM CHYNWE EZENWAKA
NPI 1356061717
Nurse Practitioner - Psychiatric/Mental Health in Washington, DC

Active since August 29, 2022PECOS EnrolledAccepts Medicare Assignment
1221 TAYLOR ST NW, WASHINGTON, DC 20011(202) 464-9200(202) 291-2160 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2023, Aug 29, 2022 (2 updates tracked since 2022).

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

NPI1356061717
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMIRIAM CHYNWE EZENWAKA
Location Address1221 TAYLOR ST NWWashington, DC 20011-5617
Mailing Address4106 Winding Waters TerUpper Marlboro, MD 20772-2504 · (301) 675-5364
Fax(202) 291-2160
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 29, 2022
Last NPPES UpdateDecember 4, 20232 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
NPI 1356061717 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
Licenses Licensed in DC · NP500015019 Licensed in MD · R172386
1221 TAYLOR ST NW, Washington, DC 20011

Secondary Practice Location 1

Location 14106 Winding Waters TerUpper Marlboro, MD 20772-2504 · Phone (301) 675-5364

Accepted 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

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.

PECOS PAC ID7911366711
PECOS Enrollment IDI20230711001686
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 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.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Clinic/Center (Federally Qualified Health Center (FQHC))
1221 TAYLOR ST NW
WASHINGTON, DC 20011
Home Health Aide
1221 TAYLOR ST NW
WASHINGTON, DC 20011
Registered Nurse
1221 TAYLOR ST NW
WASHINGTON, DC 20011
Home Health Aide
1221 TAYLOR ST NW
WASHINGTON, DC 20011
Case Manager/Care Coordinator
1221 TAYLOR ST NW
WASHINGTON, DC 20011
Community Health Worker
1221 TAYLOR ST NW
WASHINGTON, DC 20011
Case Manager/Care Coordinator
1221 TAYLOR ST NW
WASHINGTON, DC 20011
Counselor (Mental Health)
1221 TAYLOR ST NW
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.

What insurance does Miriam Ezenwaka accept?

Health plans from Providence Health Plan list Miriam Ezenwaka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.