KELECHI UCHE UDUMA
NPI 1487480752
Nurse Practitioner - Psychiatric/Mental Health in Edwardsville, IL

Active since September 12, 2024PECOS EnrolledAccepts Medicare Assignment
1 HAIRPIN DRIVE, EDWARDSVILLE, IL 62026(314) 745-4673 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2025, Sep 12, 2024 (2 updates tracked since 2024).

About Kelechi Uche Uduma NPPES

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

KELECHI UCHE UDUMA (NPI 1487480752) is an individual psychiatric/mental health provider in Edwardsville, Illinois, licensed in Missouri (2025034856) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1487480752
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELECHI UCHE UDUMA
Location Address1 HAIRPIN DRIVEEdwardsville, IL 62026-0001
Mailing Address168 Behlmann Meadows WayFlorissant, MO 63034-2863 · (314) 745-4673
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 12, 2024
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
NPI 1487480752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MO · 2025034856
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 2019030421 (MO), 041561779 (IL)
1 HAIRPIN DRIVE, Edwardsville, IL 62026

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

Kelechi Uche Uduma 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 ID4981188836
PECOS Enrollment IDI20260319001092
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 62026 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Nurse Practitioner (Family)
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Registered Nurse
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Nurse Practitioner
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026

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 Kelechi Uduma's NPI number?

The NPI number for Kelechi Uduma is 1487480752. It was assigned to this individual provider in the NPPES registry on September 12, 2024.

Where is Kelechi Uduma located?

Kelechi Uduma practices at 1 Hairpin Drive, Edwardsville, IL 62026. The listed phone number is (314) 745-4673.

What is Kelechi Uduma's specialty?

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

Is Kelechi Uduma enrolled in Medicare?

Yes. Kelechi Uduma 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.

When was this NPI record last updated?

The NPPES record for Kelechi Uduma was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.