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MRS. AMARA JENEVIN EZUMAH PMHNP MSN, RN
NPI 1427770940
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since September 12, 2022PECOS Enrolled
1702 W 107TH ST, LOS ANGELES, CA 90047(323) 476-2007 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Amara Jenevin Ezumah Pmhnp Msn, Rn NPPES

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

MRS. AMARA JENEVIN EZUMAH PMHNP MSN, RN (NPI 1427770940) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95022494) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427770940
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. AMARA JENEVIN EZUMAHCredential: PMHNP MSN, RN
Location Address1702 W 107TH STLos Angeles, CA 90047-4444
Mailing Address1702 W 107th StLos Angeles, CA 90047-4444 · (323) 476-2007
Phone(323) 476-2007
Sole ProprietorYes
Enumeration DateSeptember 12, 2022
NPPES CertifiedSeptember 12, 2022
✔ NPI 1427770940 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 CA · 95022494
1702 W 107TH ST, Los Angeles, CA 90047
Open in Google Maps ↗

Other Names 1

Former Name (1)Amara Jenevin Ezeanioma

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Amara Jenevin Ezumah Pmhnp Msn, Rn 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 Reassignments

3

Medicare enrollment records show Amara Ezumah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ehab Yacoub MD Inc.
5.6 mi
Child & Adolescent Psychiatry
1225 W 190TH ST STE 280
Gardena, CA 90248
  • Reassigned Medicare billing, California enrollment
  • 375 clinicians in this Medicare group
NPI 1417373713 (310) 515-8113
Mellow Medical Inc A Professional Corporation
11 mi
Psychiatry
8235 SANTA MONICA BLVD, SUITE 300
West Hollywood, CA 90046
  • Reassigned Medicare billing, California enrollment
  • 204 clinicians in this Medicare group
NPI 1407275886 (310) 892-4284
Grow Healthcare Group PC
309 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

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 90047 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Amara Ezumah's NPI number?

The NPI number for Amara Ezumah is 1427770940. It was assigned to this individual provider in the NPPES registry on September 12, 2022. The provider is also known as Amara Jenevin Ezeanioma.

Where is Amara Ezumah located?

Amara Ezumah practices at 1702 W 107th St, Los Angeles, CA 90047. The listed phone number is (323) 476-2007.

What is Amara Ezumah's specialty?

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

Is Amara Ezumah enrolled in Medicare?

Yes. Amara Ezumah is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amara Ezumah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amara Ezumah reassigns Medicare benefits to 3 organizations: Ehab Yacoub MD Inc. (Gardena, CA), Mellow Medical Inc A Professional Corporation (West Hollywood, CA) and Grow Healthcare Group PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amara Ezumah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amara Ezumah was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.