CHUKWUEMEKA DEROY OBILOR PMHNP-BC
NPI 1366024119
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Q: What is Chukwuemeka Obilor's NPI number?

The NPI number for Chukwuemeka Obilor is 1366024119. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Q: What is Chukwuemeka Obilor's specialty?

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

Active since April 22, 2021PECOS EnrolledAccepts Medicare Assignment

2810 W CHARLESTON BLVD STE 77, LAS VEGAS, NV 89102(702) 445-6233(702) 749-3156 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 22, 2023, Apr 22, 2021 (2 updates tracked since 2021).

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About Chukwuemeka Deroy Obilor Pmhnp-bc NPPES

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

CHUKWUEMEKA DEROY OBILOR PMHNP-BC (NPI 1366024119) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (839199) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1366024119

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameCHUKWUEMEKA DEROY OBILORCredential: PMHNP-BC

Location Address2810 W CHARLESTON BLVD STE 77Las Vegas, NV 89102-1910

Mailing Address8261 Lancia AveLas Vegas, NV 89117-9184 · (702) 769-0757

Phone(702) 445-6233

Fax(702) 749-3156

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateApril 22, 2021

Last NPPES UpdateFebruary 22, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2023

✔ NPI 1366024119 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 NV · 839199

2810 W CHARLESTON BLVD STE 77, Las Vegas, NV 89102

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Secondary Practice Location 1

Location 12810 W Charleston Blvd Ste 73Las Vegas, NV 89102-1910 · Phone (702) 331-2142 · Fax (702) 331-1915

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Arizona, BridgeSpan Health Company and more.Insurance ›

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

Chukwuemeka Deroy Obilor Pmhnp-bc 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 ID8325442262

PECOS Enrollment IDI20260625001388

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

Medicare enrollment records show Chukwuemeka Obilor reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PC

381 mi

Mental Health

99 S ALMADEN BLVD STE 600
San Jose, CA 95113

Reassigned Medicare billing, California enrollment
3,139 clinicians in this Medicare group

NPI 1154994846 (408) 402-4385

Lgbtq Telepsychiatry

736 mi

Psychiatric/Mental Health

1309 COFFEEN AVE STE 1200
Sheridan, WY 82801

Reassigned Medicare billing, Oregon enrollment
47 clinicians in this Medicare group

NPI 1336722859 (888) 985-4287

Grow Healthcare Group Of Kansas PA

992 mi

Mental Health

801 E DOUGLAS AVE FL 2
Wichita, KS 67202

Reassigned Medicare billing, Kansas enrollment
102 clinicians in this Medicare group

NPI 1831848316 (316) 974-3161

Grow Healthcare Group PA

2,183 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Alaska, Minnesota, Montana, New York, Oregon and Washington enrollments
53 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

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 4

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

98 services29 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.

90 services28 patients

Psychiatric services complicated by communication factor 90785

Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.

84 services16 patients

Telehealth originating site facility fee Q3014

The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.

79 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 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.

Other Providers at the Same Location NPPES 12

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

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