CHRISTIANA ODUNZE NURSE PRACTITIONER
NPI 1366288326
Nurse Practitioner - Gerontology in Brockton, MA

Q: What is Christiana Odunze's NPI number?

The NPI number for Christiana Odunze is 1366288326. It was assigned to this individual provider in the NPPES registry on July 8, 2024.

Q: What is Christiana Odunze's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Christiana Odunze was last updated on July 8, 2024. 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.

Active since July 08, 2024PECOS Enrolled

10 CHRISTY DR, BROCKTON, MA 02301(508) 580-8700 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Christiana Odunze Nurse Practitioner NPPES

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

CHRISTIANA ODUNZE NURSE PRACTITIONER (NPI 1366288326) is an individual gerontology provider in Brockton, Massachusetts, licensed in Massachusetts (AG03240041) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1366288326

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameCHRISTIANA ODUNZECredential: NURSE PRACTITIONER

Location Address10 CHRISTY DRBrockton, MA 02301-1812

Mailing Address30 Brookdale RdStoughton, MA 02072-3309 · (781) 344-4740

Phone(508) 580-8700

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 8, 2024

NPPES CertifiedJuly 8, 2024

✔ NPI 1366288326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MA · AG03240041

10 CHRISTY DR, Brockton, MA 02301

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christiana Odunze Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072080225

PECOS Enrollment IDI20260425000140

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 02301 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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 18

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

AMANDA SABOL

Counselor (Mental Health)