IFEYINWA IBEANU
NPI 1902351430
Nurse Practitioner - Family in Baltimore, MD

Active since August 25, 2016PECOS EnrolledAccepts Medicare Assignment
954 FORREST ST, BALTIMORE, MD 21202(410) 837-2135 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ifeyinwa Ibeanu NPPES

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

IFEYINWA IBEANU (NPI 1902351430) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R178898) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1902351430
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIFEYINWA IBEANU
Location Address954 FORREST STBaltimore, MD 21202-4236
Mailing Address1611 Rosedale Heights AveBaltimore, MD 21237-1306 · (443) 326-0503
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 25, 2016
Last NPPES UpdateApril 21, 2023
NPPES CertifiedApril 21, 2023
✔ NPI 1902351430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R178898
Also ListedNurse PractitionerTaxonomy 363L00000X · License R178898 (MD)
954 FORREST ST, Baltimore, MD 21202

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

Ifeyinwa Ibeanu 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 ID3779815295
PECOS Enrollment IDI20191101000165
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 Reassignment

Medicare enrollment records show Ifeyinwa Ibeanu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family
1232 RACE RD STE 302
Rosedale, MD 21237
  • Reassigned Medicare billing, Maryland enrollment

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 21202 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 8

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

Nurse Practitioner (Psychiatric/Mental Health)
954 FORREST ST
BALTIMORE, MD 21202
Dentist
954 FORREST ST
BALTIMORE, MD 21202
Dental Hygienist
954 FORREST ST
BALTIMORE, MD 21202
Nurse Practitioner (Psychiatric/Mental Health)
954 FORREST ST
BALTIMORE, MD 21202
Family Medicine
954 FORREST ST
BALTIMORE, MD 21202
Internal Medicine
954 FORREST ST
BALTIMORE, MD 21202
Social Worker (Clinical)
954 FORREST ST
BALTIMORE, MD 21202
Hospitalist
954 FORREST ST
BALTIMORE, MD 21202

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 Ifeyinwa Ibeanu's NPI number?

The NPI number for Ifeyinwa Ibeanu is 1902351430. It was assigned to this individual provider in the NPPES registry on August 25, 2016.

Where is Ifeyinwa Ibeanu located?

Ifeyinwa Ibeanu practices at 954 Forrest St, Baltimore, MD 21202. The listed phone number is (410) 837-2135.

What is Ifeyinwa Ibeanu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ifeyinwa Ibeanu enrolled in Medicare?

Yes. Ifeyinwa Ibeanu 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.

Which organization bills Medicare for Ifeyinwa Ibeanu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ifeyinwa Ibeanu reassigns Medicare benefits to Trinity Detox And Family Clinic Inc (Rosedale, MD). 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 Ifeyinwa Ibeanu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ifeyinwa Ibeanu was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.