MRS. KEYNADOMNICIA CHIOMA UDENZE AGNP-BC
NPI 1679923635
Nurse Practitioner - Adult Health in Garner, NC

Active since June 20, 2016PECOS EnrolledAccepts Medicare Assignment
500 BENSON RD STE 115, GARNER, NC 27529(984) 246-2006(984) 246-2005 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2021, Jul 6, 2021, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Mrs. Keynadomnicia Chioma Udenze Agnp-bc NPPES

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

MRS. KEYNADOMNICIA CHIOMA UDENZE AGNP-BC (NPI 1679923635) is an individual adult health provider in Garner, North Carolina, licensed in North Carolina (5009687) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Pine Ridge Ihs Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679923635
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. KEYNADOMNICIA CHIOMA UDENZECredential: AGNP-BC
Location Address500 BENSON RD STE 115Garner, NC 27529-3947
Mailing Address500 Benson Road, Suite 115Garner, NC 27529-0016 · (214) 727-8681 · Fax (984) 246-2005
Fax(984) 246-2005
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 20, 2016
Last NPPES UpdateJuly 13, 20215 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
NPI 1679923635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses Licensed in NC · 5009687 Licensed in TX · AP131087
500 BENSON RD STE 115, Garner, NC 27529

Secondary Practice Locations 2

Location 15 Firstvillage drivePinehurst, NC 28374 · Phone (910) 215-2520 · Fax (910) 295-0244
Location 23637 Cape Center DrFayetteville, NC 28304-4457 · Phone (910) 491-1760 · Fax (910) 491-1764

Other Identifiers 1

OtherAP131087TX · Nurse Practitioner License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Mrs. Keynadomnicia Chioma Udenze Agnp-bc 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 ID2365595527
PECOS Enrollment IDI20161209001204
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 3

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.
133 services62 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
44 services36 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
19 services17 patients

Hospital Affiliations CMS Care Compare

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

Pine Ridge Ihs Hospital

Acute Care Hospitals · Pine Ridge, SD
OwnershipGovernment - Federal
CMS Certification Number430098
LocationEast Highway 18Pine Ridge, SD 57770 · Oglala Lakota County County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27529 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
500 BENSON RD STE 115
GARNER, NC 27529
Nurse Practitioner (Adult Health)
500 BENSON RD STE 115
GARNER, NC 27529

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 Keynadomnicia Udenze's NPI number?

The NPI number for Keynadomnicia Udenze is 1679923635. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Where is Keynadomnicia Udenze located?

Keynadomnicia Udenze practices at 500 Benson Rd Ste 115, Garner, NC 27529. The listed phone number is (984) 246-2006.

What is Keynadomnicia Udenze's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Keynadomnicia Udenze enrolled in Medicare?

Yes. Keynadomnicia Udenze 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 Keynadomnicia Udenze accept?

Health plans from Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Keynadomnicia Udenze 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 Keynadomnicia Udenze affiliated with any hospitals?

According to CMS data, Keynadomnicia Udenze is affiliated with Pine Ridge Ihs Hospital.

When was this NPI record last updated?

The NPPES record for Keynadomnicia Udenze was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.