IJEOMA MIRACLE NWOBU
NPI 1396564548
Nurse Practitioner - Psychiatric/Mental Health in Wyckoff, NJ

Active since October 05, 2024PECOS EnrolledAccepts Medicare Assignment
301 SICOMAC AVE, WYCKOFF, NJ 07481(917) 224-8622 Get Directions Write a Review

NPPES record last updated: October 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ijeoma Miracle Nwobu NPPES

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

IJEOMA MIRACLE NWOBU (NPI 1396564548) is an individual psychiatric/mental health provider in Wyckoff, New Jersey, licensed in New Jersey (06356750) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1396564548
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameIJEOMA MIRACLE NWOBU
Location Address301 SICOMAC AVEWyckoff, NJ 07481-2159
Mailing Address53 Philip PlIrvington, NJ 07111-2908 · (917) 224-8622
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 5, 2024
NPPES CertifiedOctober 5, 2024
NPI 1396564548 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 NJ · 06356750
301 SICOMAC AVE, Wyckoff, NJ 07481

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

Ijeoma Miracle Nwobu 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 ID7214456508
PECOS Enrollment IDI20250529002760
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 07481 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Speech-Language Pathologist
301 SICOMAC AVE
WYCKOFF, NJ 07481
Physical Therapy Assistant
301 SICOMAC AVE
WYCKOFF, NJ 07481
Marriage & Family Therapist
301 SICOMAC AVE
WYCKOFF, NJ 07481
Occupational Therapist
301 SICOMAC AVE
WYCKOFF, NJ 07481
Physical Therapist
301 SICOMAC AVE
WYCKOFF, NJ 07481
Occupational Therapist
301 SICOMAC AVE
WYCKOFF, NJ 07481
Occupational Therapist
301 SICOMAC AVE
WYCKOFF, NJ 07481
Occupational Therapist
301 SICOMAC AVE
WYCKOFF, NJ 07481

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 Ijeoma Nwobu's NPI number?

The NPI number for Ijeoma Nwobu is 1396564548. It was assigned to this individual provider in the NPPES registry on October 5, 2024.

Where is Ijeoma Nwobu located?

Ijeoma Nwobu practices at 301 Sicomac Ave, Wyckoff, NJ 07481. The listed phone number is (917) 224-8622.

What is Ijeoma Nwobu's specialty?

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

Is Ijeoma Nwobu enrolled in Medicare?

Yes. Ijeoma Nwobu 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 Ijeoma Nwobu accept?

Health plans from Providence Health Plan list Ijeoma Nwobu 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 Ijeoma Nwobu was last updated on October 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.