Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NNENNAYA O AGWU APRN
NPI 1639959166
Nurse Practitioner - Family in Greenville, SC

Active since October 02, 2023PECOS EnrolledAccepts Medicare Assignment
220 N MAIN ST STE 500, GREENVILLE, SC 29601(800) 275-3243 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2026, Dec 3, 2024, Oct 2, 2024 and 1 more (4 updates tracked since 2023).

About Nnennaya O Agwu Aprn NPPES

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

NNENNAYA O AGWU APRN (NPI 1639959166) is an individual family provider in Greenville, South Carolina, licensed in South Carolina (29072) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (2024).

NPPES Registry Identity

NPI1639959166
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNNENNAYA O AGWUCredential: APRN
Location Address220 N MAIN ST STE 500Greenville, SC 29601-2129
Mailing Address1601 Green Street ColumbiaColumbia, SC 29208-0001
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2024
Enumeration DateOctober 2, 2023
Last NPPES UpdateSeptember 16, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1639959166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in SC · 29072✔ Licensed in GA · GAA-NP002631
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 29072 (SC)
220 N MAIN ST STE 500, Greenville, SC 29601

Accepted 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

Nnennaya O Agwu Aprn 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 ID5395273163
PECOS Enrollment IDI20250514001791
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 Reassignments

3

Medicare enrollment records show Nnennaya Agwu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
220 N MAIN ST STE 500
Greenville, SC 29601
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Che Behavioral Health Services Of South Carolina PC
  • 33 clinicians in this Medicare group
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Georgia enrollment
  • 110 clinicians in this Medicare group
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Georgia enrollment
  • 23 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 29601 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Nurse Practitioner (Gerontology)
220 N MAIN ST STE 500
GREENVILLE, SC 29601
Community/Behavioral Health
220 N MAIN ST STE 500
GREENVILLE, SC 29601
Internal Medicine
220 N MAIN ST STE 500
GREENVILLE, SC 29601
Nurse Practitioner (Family)
220 N MAIN ST STE 500
GREENVILLE, SC 29601
Nurse Practitioner (Psychiatric/Mental Health)
220 N MAIN ST STE 500
GREENVILLE, SC 29601
Nurse Practitioner (Adult Health)
220 N MAIN ST STE 500
GREENVILLE, SC 29601
Internal Medicine
220 N MAIN ST STE 500
GREENVILLE, SC 29601
Nurse Practitioner
220 N MAIN ST STE 500
GREENVILLE, SC 29601

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 Nnennaya Agwu's NPI number?

The NPI number for Nnennaya Agwu is 1639959166. It was assigned to this individual provider in the NPPES registry on October 2, 2023.

Where is Nnennaya Agwu located?

Nnennaya Agwu practices at 220 N Main St Ste 500, Greenville, SC 29601. The listed phone number is (800) 275-3243.

What is Nnennaya Agwu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nnennaya Agwu enrolled in Medicare?

Yes. Nnennaya Agwu 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 Nnennaya Agwu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nnennaya Agwu reassigns Medicare benefits to 3 organizations: Che Behavioral Health Services Of South Carolina, P.C. (Greenville, SC), Theoria Medical (Novi, MI) and Complexcare Medical Group Midwest M PLLC (Novi, MI). 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 Nnennaya Agwu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nnennaya Agwu accept?

Health plans from CareSource (Common Ground Healthcare) list Nnennaya Agwu 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 Nnennaya Agwu was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.