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EKENECHI EZEANOLUE
NPI 1912734682
Nurse Practitioner - Psychiatric/Mental Health in West Henrietta, NY

Active since September 17, 2024PECOS EnrolledAccepts Medicare Assignment
250 LUCIUS GORDON DR STE 2, WEST HENRIETTA, NY 14586(585) 471-3407(866) 557-9539 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ekenechi Ezeanolue NPPES

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

EKENECHI EZEANOLUE (NPI 1912734682) is an individual psychiatric/mental health provider in West Henrietta, New York, licensed in New York (406102) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1912734682
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEKENECHI EZEANOLUE
Location Address250 LUCIUS GORDON DR STE 2West Henrietta, NY 14586-9662
Mailing Address250 Lucius Gordon Dr Ste 2West Henrietta, NY 14586-9662 · (585) 471-3407 · Fax (866) 557-9539
Phone(585) 471-3407
Fax(866) 557-9539
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 17, 2024
Last NPPES UpdateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
✔ NPI 1912734682 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 NY · 406102
250 LUCIUS GORDON DR STE 2, West Henrietta, NY 14586
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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

Ekenechi Ezeanolue 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 ID6305352964
PECOS Enrollment IDI20250721002759
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 Ekenechi Ezeanolue reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Henrietta Psychiatric Np Care, PLLC
Same address
Community/Behavioral Health
250-B LUCIUS GORDON DRIVE SUITE 2
West Henrietta, NY 14586
  • Reassigned Medicare billing, New York enrollment
  • 15 clinicians in this Medicare group
NPI 1114648276 (585) 471-3407

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 14586 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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

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

LAURA BAKER NP
Nurse Practitioner (Psychiatric/Mental Health)
250 LUCIUS GORDON DR STE 2
WEST HENRIETTA, NY 14586
Monroe County (585) 471-3407

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 Ekenechi Ezeanolue's NPI number?

The NPI number for Ekenechi Ezeanolue is 1912734682. It was assigned to this individual provider in the NPPES registry on September 17, 2024.

Where is Ekenechi Ezeanolue located?

Ekenechi Ezeanolue practices at 250 Lucius Gordon Dr Ste 2, West Henrietta, NY 14586. The listed phone number is (585) 471-3407.

What is Ekenechi Ezeanolue's specialty?

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

Is Ekenechi Ezeanolue enrolled in Medicare?

Yes. Ekenechi Ezeanolue 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 Ekenechi Ezeanolue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ekenechi Ezeanolue reassigns Medicare benefits to Henrietta Psychiatric Np Care, PLLC (West Henrietta, NY). 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 Ekenechi Ezeanolue'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 Ekenechi Ezeanolue was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.