CHIDIEBERE IHEANACHO
NPI 1598549370
Nurse Practitioner - Acute Care in North Salt Lake, UT

Active since August 22, 2023PECOS EnrolledAccepts Medicare Assignment
175 ODELL LN, NORTH SALT LAKE, UT 84054(801) 867-0632 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2025, Dec 8, 2024, Aug 22, 2023 (3 updates tracked since 2023).

About Chidiebere Iheanacho NPPES

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

CHIDIEBERE IHEANACHO (NPI 1598549370) is an individual acute care provider in North Salt Lake, Utah, licensed in Utah (8326025-4405) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Northeastern Nevada Regional Hospital, and maintains a secondary practice location in West Valley City.

NPPES Registry Identity

NPI1598549370
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCHIDIEBERE IHEANACHO
Location Address175 ODELL LNNorth Salt Lake, UT 84054-4100
Mailing Address175 Odell LnNorth Salt Lake, UT 84054-4100 · (801) 867-0632
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2023
Enumeration DateAugust 22, 2023
Last NPPES UpdateDecember 29, 20253 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
NPI 1598549370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in UT · 8326025-4405
175 ODELL LN, North Salt Lake, UT 84054

Secondary Practice Location 1

Location 13336 S Pioneer Pkwy Ste 203West Valley City, UT 84120-6077 · Phone (801) 290-7153 · Fax (801) 748-0113

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

Chidiebere Iheanacho 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 ID345685970
PECOS Enrollment IDI20240305001640
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
47 services39 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeastern Nevada Regional Hospital

Acute Care Hospitals · Elko, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290008
Location2001 Errecart BlvdElko, NV 89801 · Elko County
Emergency services Birthing friendly

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460051
Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84054 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 Chidiebere Iheanacho's NPI number?

The NPI number for Chidiebere Iheanacho is 1598549370. It was assigned to this individual provider in the NPPES registry on August 22, 2023.

Where is Chidiebere Iheanacho located?

Chidiebere Iheanacho practices at 175 Odell Ln, North Salt Lake, UT 84054. The listed phone number is (801) 867-0632.

What is Chidiebere Iheanacho's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Chidiebere Iheanacho enrolled in Medicare?

Yes. Chidiebere Iheanacho 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 Chidiebere Iheanacho accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Chidiebere Iheanacho 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.

Is Chidiebere Iheanacho affiliated with any hospitals?

According to CMS data, Chidiebere Iheanacho is affiliated with Northeastern Nevada Regional Hospital, University Of Utah Hospitals And Clinics and Holy Cross Hospital-Jordan Valley.

When was this NPI record last updated?

The NPPES record for Chidiebere Iheanacho was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.