DR. IFEOMANNEKA SUSAN UDUEZUE FNP, PMHNP
NPI 1578039822
Nurse Practitioner - Psychiatric/Mental Health in Ogdensburg, NY

Active since October 15, 2018PECOS EnrolledAccepts Medicare Assignment
1 CHIMNEY POINT DR, OGDENSBURG, NY 13669(315) 541-2001 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2023, Jan 3, 2022, Dec 14, 2021 and 3 more (6 updates tracked since 2018).

About Dr. Ifeomanneka Susan Uduezue Fnp, Pmhnp NPPES

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

DR. IFEOMANNEKA SUSAN UDUEZUE FNP, PMHNP (NPI 1578039822) is an individual psychiatric/mental health provider in Ogdensburg, New York, licensed in New York (402818) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ogdensburg, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1578039822
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. IFEOMANNEKA SUSAN UDUEZUECredential: FNP, PMHNP
Location Address1 CHIMNEY POINT DROgdensburg, NY 13669-2291
Mailing Address1 Chimney Point DrOgdensburg, NY 13669-2291
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 15, 2018
Last NPPES UpdateJune 8, 20236 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
NPI 1578039822 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 NY · 402818
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 343722 (NY)
1 CHIMNEY POINT DR, Ogdensburg, NY 13669

Other Names 1

Former Name (1)Dr. Ifeomanneka Susan Ikwukeme

Secondary Practice Location 1

Location 11 Chimney Point DrOgdensburg, NY 13669-2291 · Phone (315) 395-1260

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

Dr. Ifeomanneka Susan Uduezue Fnp, Pmhnp 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 ID6406186048
PECOS Enrollment IDI20230417000251
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 13669 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Pharmacist
1 CHIMNEY POINT DR
OGDENSBURG, NY 13669
Psychiatry & Neurology (Psychiatry)
1 CHIMNEY POINT DR
OGDENSBURG, NY 13669
Registered Nurse
1 CHIMNEY POINT DR
OGDENSBURG, NY 13669
Social Worker (Clinical)
1 CHIMNEY POINT DR
OGDENSBURG, NY 13669
Registered Nurse
1 CHIMNEY POINT DR
OGDENSBURG, NY 13669
Registered Nurse
1 CHIMNEY POINT DR
OGDENSBURG, NY 13669
Counselor
1 CHIMNEY POINT DR
OGDENSBURG, NY 13669
Registered Nurse
1 CHIMNEY POINT DR
OGDENSBURG, NY 13669

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 Ifeomanneka Uduezue's NPI number?

The NPI number for Ifeomanneka Uduezue is 1578039822. It was assigned to this individual provider in the NPPES registry on October 15, 2018. The provider is also known as Dr. Ifeomanneka Susan Ikwukeme.

Where is Ifeomanneka Uduezue located?

Ifeomanneka Uduezue practices at 1 Chimney Point Dr, Ogdensburg, NY 13669. The listed phone number is (315) 541-2001.

What is Ifeomanneka Uduezue's specialty?

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

Is Ifeomanneka Uduezue enrolled in Medicare?

Yes. Ifeomanneka Uduezue 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 Ifeomanneka Uduezue accept?

Health plans from Providence Health Plan list Ifeomanneka Uduezue 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 Ifeomanneka Uduezue was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.