IFEANYI EMMANUEL IGBOANUGO MPH, MSN, AGNP-C
NPI 1396252037
Nurse Practitioner - Adult Health in Surprise, AZ

Q: What is Ifeanyi Igboanugo's NPI number?

The NPI number for Ifeanyi Igboanugo is 1396252037. It was assigned to this individual provider in the NPPES registry on January 3, 2018.

Q: What is Ifeanyi Igboanugo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Ifeanyi Igboanugo was last updated on December 22, 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.

Active since January 03, 2018PECOS Enrolled

15351 W BELL RD, SURPRISE, AZ 85374(480) 964-2273(623) 214-5214 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ifeanyi Emmanuel Igboanugo Mph, Msn, Agnp-c NPPES

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

IFEANYI EMMANUEL IGBOANUGO MPH, MSN, AGNP-C (NPI 1396252037) is an individual adult health provider in Surprise, Arizona, licensed in Arizona (AP10856) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1396252037

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameIFEANYI EMMANUEL IGBOANUGOCredential: MPH, MSN, AGNP-C

Location Address15351 W BELL RDSurprise, AZ 85374-4580

Mailing Address3033 N Central Ave Ste 145Phoenix, AZ 85012-2808 · (623) 583-3001 · Fax (623) 974-6721

Phone(480) 964-2273

Fax(623) 214-5214

Sole ProprietorNo

Enumeration DateJanuary 3, 2018

Last NPPES UpdateDecember 22, 2023

NPPES CertifiedDecember 22, 2023

✔ NPI 1396252037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in AZ · AP10856

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP10856 (AZ)

15351 W BELL RD, Surprise, AZ 85374

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Secondary Practice Location 1

Location 1650 E Indian School RdPhoenix, AZ 85012-1839 · Phone (602) 277-5551

Other Identifiers 1

Medicaid372652AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ifeanyi Emmanuel Igboanugo Mph, Msn, Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Ifeanyi Igboanugo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adelante Healthcare Inc

Same address

Federally Qualified Health Center (FQHC)

15317 W BELL RD STE 100
Surprise, AZ 85374

Reassigned Medicare billing, Arizona enrollment
234 clinicians in this Medicare group

NPI 1003293465 (480) 964-2273

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 85374 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

DR. PAULINA ELISE MARIKI-MHANGO MD

Pediatrics