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NWAMAKA LARVINE EMERUEM
NPI 1508366642
Nurse Practitioner - Psychiatric/Mental Health in Vancouver, WA

Active since February 15, 2018PECOS EnrolledAccepts Medicare Assignment
2512 E EVERGREEN BLVD, VANCOUVER, WA 98661(972) 503-4109(972) 449-0500 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2021, Apr 15, 2020, Jan 9, 2020 and 1 more (4 updates tracked since 2018).

About Nwamaka Larvine Emeruem NPPES

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

NWAMAKA LARVINE EMERUEM (NPI 1508366642) is an individual psychiatric/mental health provider in Vancouver, Washington, licensed in Texas (AP136592) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1508366642
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNWAMAKA LARVINE EMERUEM
Location Address2512 E EVERGREEN BLVDVancouver, WA 98661-4323
Mailing Address402 W Wheatland Rd Ste 140Duncanville, TX 75116-4628 · (972) 503-4109 · Fax (972) 449-0500
Phone(972) 503-4109
Fax(972) 449-0500
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 15, 2018
Last NPPES UpdateMarch 22, 20224 updates tracked since enumeration
NPPES CertifiedMarch 22, 2022
✔ NPI 1508366642 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 TX · AP136592
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP136592 (TX)
2512 E EVERGREEN BLVD, Vancouver, WA 98661
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12459 E Hebron Pkwy Ste 130Carrollton, TX 75010-4477 · Phone (972) 239-8131
Location 2402 W Wheatland Rd Ste 140Duncanville, TX 75116-4628 · Phone (972) 503-4109 · Fax (972) 449-0500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nwamaka Larvine Emeruem 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 ID2062774813
PECOS Enrollment IDI20180315001049, I20220408000880
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 Nwamaka Emeruem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardinal Support LLC
Same address
Psychiatric/Mental Health
2512 E EVERGREEN BLVD
Vancouver, WA 98661
  • Reassigned Medicare billing, Texas and Washington enrollments
  • 3 clinicians in this Medicare group
NPI 1699312314 (972) 503-4109

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 98661 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%74 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
95%21 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

CARDINAL SUPPORT LLC
Nurse Practitioner (Psychiatric/Mental Health)
2512 E EVERGREEN BLVD
VANCOUVER, WA 98661
Clark County (972) 503-4109

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 Nwamaka Emeruem's NPI number?

The NPI number for Nwamaka Emeruem is 1508366642. It was assigned to this individual provider in the NPPES registry on February 15, 2018.

Where is Nwamaka Emeruem located?

Nwamaka Emeruem practices at 2512 E Evergreen Blvd, Vancouver, WA 98661. The listed phone number is (972) 503-4109.

What is Nwamaka Emeruem's specialty?

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

Is Nwamaka Emeruem enrolled in Medicare?

Yes. Nwamaka Emeruem 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.

Which organization bills Medicare for Nwamaka Emeruem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nwamaka Emeruem reassigns Medicare benefits to Cardinal Support LLC (Vancouver, WA). The 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 Nwamaka Emeruem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nwamaka Emeruem accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Nwamaka Emeruem 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 Nwamaka Emeruem was last updated on March 22, 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.