MARY EZINNE EZEBUIRO
NPI 1881179588
Nurse Practitioner - Family in Jbsa Lackland, TX
About Mary Ezinne Ezebuiro NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY EZINNE EZEBUIRO (NPI 1881179588) is an individual family provider in Jbsa Lackland, Texas, licensed in Texas (AP138218) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Mary Ezinne Ezebuiro is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JBSA LACKLAND, TX 78236
JBSA LACKLAND, TX 78236
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 Mary Ezebuiro's NPI number?
The NPI number for Mary Ezebuiro is 1881179588. It was assigned to this individual provider in the NPPES registry on September 27, 2018.
Where is Mary Ezebuiro located?
Mary Ezebuiro practices at 1100 Wilford Hall Loop # 4554, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-7026.
What is Mary Ezebuiro's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Ezebuiro enrolled in Medicare?
Yes. Mary Ezebuiro is registered in the Medicare PECOS enrollment system.
What insurance does Mary Ezebuiro accept?
Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Mary Ezebuiro 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 Mary Ezebuiro was last updated on March 21, 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.
# Mary Ezinne Ezebuiro · NPI 1881179588
Family physician in Jbsa Lackland, Texas. Individual provider, active in the CMS NPPES registry since September 27, 2018.
## Identity
- **NPI:** 1881179588 (Entity type: Individual)
- **Enumerated:** September 27, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP138218 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1100 WILFORD HALL LOOP # 4554, Jbsa Lackland, TX 78236-5638
- **Phone:** (210) 292-7026
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1881179588) · Data from the CMS NPPES public registry.