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GLORIA O EGBUNIWE PMHNP-BC
NPI 1912572009
Nurse Practitioner - Psychiatric/Mental Health in Suffolk, VA

Active since May 21, 2021PECOS EnrolledAccepts Medicare Assignment
2047 PRUDEN BLVD, SUFFOLK, VA 23434(757) 513-4665 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2021, May 26, 2021, May 21, 2021 (3 updates tracked since 2021).

About Gloria O Egbuniwe Pmhnp-bc NPPES

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

GLORIA O EGBUNIWE PMHNP-BC (NPI 1912572009) is an individual psychiatric/mental health provider in Suffolk, Virginia, licensed in Virginia (0024181476) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1912572009
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGLORIA O EGBUNIWECredential: PMHNP-BC
Location Address2047 PRUDEN BLVDSuffolk, VA 23434-8490
Mailing Address2470 Pruden BlvdSuffolk, VA 23434-4206 · (757) 922-8048
Phone(757) 513-4665
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 21, 2021
Last NPPES UpdateJune 11, 20213 updates tracked since enumeration
NPPES CertifiedMay 29, 2021
✔ NPI 1912572009 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 VA · 0024181476
2047 PRUDEN BLVD, Suffolk, VA 23434
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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

Gloria O Egbuniwe Pmhnp-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 ID1850795824
PECOS Enrollment IDI20210812002716
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23434 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Gloria Egbuniwe's NPI number?

The NPI number for Gloria Egbuniwe is 1912572009. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Where is Gloria Egbuniwe located?

Gloria Egbuniwe practices at 2047 Pruden Blvd, Suffolk, VA 23434. The listed phone number is (757) 513-4665.

What is Gloria Egbuniwe's specialty?

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

Is Gloria Egbuniwe enrolled in Medicare?

Yes. Gloria Egbuniwe 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.

When was this NPI record last updated?

The NPPES record for Gloria Egbuniwe was last updated on June 11, 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.