JESSICA EZEJIMOFOR PMHNP
NPI 1891500765
Nurse Practitioner - Psychiatric/Mental Health in Prairieville, LA
About Jessica Ezejimofor Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA EZEJIMOFOR PMHNP (NPI 1891500765) is an individual psychiatric/mental health provider in Prairieville, Louisiana, licensed in Louisiana (239767) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica Ezejimofor Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Ezejimofor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Prairieville, LA 70769
- Reassigned Medicare billing, Louisiana enrollment
- 5 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 70769 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PRAIRIEVILLE, LA 70769
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 Jessica Ezejimofor's NPI number?
The NPI number for Jessica Ezejimofor is 1891500765. It was assigned to this individual provider in the NPPES registry on February 10, 2025.
Where is Jessica Ezejimofor located?
Jessica Ezejimofor practices at 37283 Swamp Rd Ste 803, Prairieville, LA 70769. The listed phone number is (225) 254-9589.
What is Jessica Ezejimofor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jessica Ezejimofor enrolled in Medicare?
Yes. Jessica Ezejimofor is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Ezejimofor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Ezejimofor reassigns Medicare benefits to Gulf Coast Behavioral Health, LLC (Prairieville, LA). The 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 Jessica Ezejimofor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Ezejimofor accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Jessica Ezejimofor 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 Jessica Ezejimofor was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Jessica Ezejimofor, PMHNP · NPI 1891500765
Psychiatric/Mental Health physician in Prairieville, Louisiana. Individual provider, active in the CMS NPPES registry since February 10, 2025.
## Identity
- **NPI:** 1891500765 (Entity type: Individual)
- **Enumerated:** February 10, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 239767 (Louisiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 37283 SWAMP RD STE 803, Prairieville, LA 70769-3329
- **Phone:** (225) 254-9589 · **Fax:** (225) 208-7267
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Gulf Coast Behavioral Health, LLC (NPI 1043956527, Prairieville, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1891500765) · Data from the CMS NPPES public registry.