GENEVIEVE IFEANYICHUKWU NP
NPI 1528750205
Nurse Practitioner - Family in Baltimore, MD
About Genevieve Ifeanyichukwu Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GENEVIEVE IFEANYICHUKWU NP (NPI 1528750205) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R218823) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Genevieve Ifeanyichukwu Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Genevieve Ifeanyichukwu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middle River, MD 21220
- Reassigned Medicare billing, Maryland enrollment
Newburgh, NY 12550
- Reassigned Medicare billing, Maryland enrollment
- 2 clinicians in this Medicare group
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 21220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIDDLE RIVER, MD 21220
MIDDLE RIVER, MD 21220
MIDDLE RIVER, MD 21220
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 Genevieve Ifeanyichukwu's NPI number?
The NPI number for Genevieve Ifeanyichukwu is 1528750205. It was assigned to this individual provider in the NPPES registry on May 22, 2023.
Where is Genevieve Ifeanyichukwu located?
Genevieve Ifeanyichukwu practices at 2201 Eastern Blvd Ste A, Baltimore, MD 21220. The listed phone number is (443) 531-4264.
What is Genevieve Ifeanyichukwu's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Genevieve Ifeanyichukwu enrolled in Medicare?
Yes. Genevieve Ifeanyichukwu 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 organizations bill Medicare for Genevieve Ifeanyichukwu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Genevieve Ifeanyichukwu reassigns Medicare benefits to 2 organizations: Manifest Wellness Services LLC (Middle River, MD) and Optimum Behavioral Services LLC (Newburgh, NY). 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 Genevieve Ifeanyichukwu'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 Genevieve Ifeanyichukwu was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Genevieve Ifeanyichukwu, NP · NPI 1528750205
Family physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since May 22, 2023.
## Identity
- **NPI:** 1528750205 (Entity type: Individual)
- **Enumerated:** May 22, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R218823 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 2201 EASTERN BLVD STE A, Baltimore, MD 21220-4296
- **Phone:** (443) 531-4264 · **Fax:** (443) 531-4264
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Manifest Wellness Services LLC (NPI 1851150833, Middle River, MD); Optimum Behavioral Services LLC (NPI 1700575677, Newburgh, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1528750205) · Data from the CMS NPPES public registry.