MARTINA O EZIGBO
NPI 1679285472
Nurse Practitioner - Psychiatric/Mental Health in Seattle, WA

Q: What is Martina Ezigbo's NPI number?

The NPI number for Martina Ezigbo is 1679285472. It was assigned to this individual provider in the NPPES registry on December 23, 2022.

Q: What is Martina Ezigbo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Martina Ezigbo was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since December 23, 2022PECOS EnrolledAccepts Medicare Assignment

101 ELLIOTT AVE W STE 500, SEATTLE, WA 98119(425) 640-7009 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 30, 2025, Mar 26, 2025, Aug 28, 2023 and 1 more (4 updates tracked since 2022).

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About Martina O Ezigbo NPPES

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

MARTINA O EZIGBO (NPI 1679285472) is an individual psychiatric/mental health provider in Seattle, Washington, licensed in Washington (AP61594748) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Prairie, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1679285472

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMARTINA O EZIGBO

Location Address101 ELLIOTT AVE W STE 500Seattle, WA 98119-4292

Mailing Address100 N Howard St Ste WSpokane, WA 99201-0508

Phone(425) 640-7009

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 23, 2022

Last NPPES UpdateMay 30, 20254 updates tracked since enumeration

NPPES CertifiedMay 30, 2025

✔ NPI 1679285472 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 WA · AP61594748

101 ELLIOTT AVE W STE 500, Seattle, WA 98119

Open in Google Maps ↗

Secondary Practice Location 1

Location 12100 N Hwy 360 Ste 405BGrand Prairie, TX 75050-1025 · Phone (682) 453-6176

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Martina O Ezigbo 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 ID4486197571

PECOS Enrollment IDI20240618000292, I20250417002775

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

Medicare enrollment records show Martina Ezigbo reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grassroot Psychiatry And Mental Health Clinic PLLC

Same address

Psychiatric/Mental Health

101 ELLIOTT AVE W, SUITE 500
Seattle, WA 98119

Reassigned Medicare billing, Colorado and Pennsylvania enrollments

NPI 1801625926 (682) 453-6176

Mindful Therapy Group PC

13 mi

Clinical

6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043

Reassigned Medicare billing, Washington enrollment
777 clinicians in this Medicare group

NPI 1316238678 (425) 640-7009

Grow Healthcare Group PC

710 mi

Mental Health

99 S ALMADEN BLVD STE 600
San Jose, CA 95113

Reassigned Medicare billing, California enrollment
3,139 clinicians in this Medicare group

NPI 1154994846 (408) 402-4385

Supportive Care Of Texas PC

1,685 mi

Nurse Practitioner

505 W CENTERVILLE RD
Garland, TX 75041

Reassigned Medicare billing, Texas enrollment
38 clinicians in this Medicare group

NPI 1174247126 (718) 298-2753

Grow Healthcare Group PA

2,735 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, New York, Pennsylvania and Texas enrollments
867 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

695 services101 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

58 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98119 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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.

CHANICE JOHNSON

Counselor (Mental Health)