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

EJOVWOKE UGHWANOGHO
NPI 1669321477
Nurse Practitioner - Psychiatric/Mental Health in Daytona Beach, FL

Q: What is Ejovwoke Ughwanogho's NPI number?

The NPI number for Ejovwoke Ughwanogho is 1669321477. It was assigned to this individual provider in the NPPES registry on January 26, 2026.

Q: What is Ejovwoke Ughwanogho's specialty?

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

Active since January 26, 2026PECOS Enrolled

1220 WILLIS AVE, DAYTONA BEACH, FL 32114(800) 539-4228 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 9, 2026, May 21, 2026, Apr 29, 2026 and 1 more (4 updates tracked since 2026).

On this page

About Ejovwoke Ughwanogho NPPES

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

EJOVWOKE UGHWANOGHO (NPI 1669321477) is an individual psychiatric/mental health provider in Daytona Beach, Florida, licensed in Florida (APRN11040867) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1669321477

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameEJOVWOKE UGHWANOGHO

Location Address1220 WILLIS AVEDaytona Beach, FL 32114-2810

Mailing Address150 Magnolia AveDaytona Beach, FL 32114-4304 · (800) 539-4228

Phone(800) 539-4228

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 26, 2026

Last NPPES UpdateOctober 9, 20264 updates tracked since enumeration

NPPES CertifiedOctober 9, 2026

✔ NPI 1669321477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · APRN11040867

1220 WILLIS AVE, Daytona Beach, FL 32114

Open in Google Maps ↗

Other Identifiers 1

Medicaid130367300FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ejovwoke Ughwanogho is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426533100

PECOS Enrollment IDI20260331001639

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 32114 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

MARLA MATTOX RN

Registered Nurse (Psychiatric/Mental Health, Adult)