CHINENYE VIVIAN EZEMBAMALU NP
NPI 1952261174
Nurse Practitioner in Green Bay, WI
About Chinenye Vivian Ezembamalu Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHINENYE VIVIAN EZEMBAMALU NP (NPI 1952261174) is an individual nurse practitioner in Green Bay, Wisconsin, licensed in Wisconsin (17814-33) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Chinenye Vivian Ezembamalu Np 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Vincent Hospital
Acute Care Hospitals · Green Bay, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54303 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREEN BAY, WI 54303
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 Chinenye Ezembamalu's NPI number?
The NPI number for Chinenye Ezembamalu is 1952261174. It was assigned to this individual provider in the NPPES registry on November 12, 2025.
Where is Chinenye Ezembamalu located?
Chinenye Ezembamalu practices at 1860 Shawano Ave, Green Bay, WI 54303. The listed phone number is (920) 496-4700.
What is Chinenye Ezembamalu's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Chinenye Ezembamalu enrolled in Medicare?
Yes. Chinenye Ezembamalu 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.
Is Chinenye Ezembamalu affiliated with any hospitals?
According to CMS data, Chinenye Ezembamalu is affiliated with St Vincent Hospital.
When was this NPI record last updated?
The NPPES record for Chinenye Ezembamalu was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.
# Chinenye Vivian Ezembamalu, NP · NPI 1952261174
Nurse Practitioner physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since November 12, 2025.
## Identity
- **NPI:** 1952261174 (Entity type: Individual)
- **Enumerated:** November 12, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 17814-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1860 SHAWANO AVE, Green Bay, WI 54303-2667
- **Phone:** (920) 496-4700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 8, 2026
- **Other identifiers:** Medicaid 100405772 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1952261174) · Data from the CMS NPPES public registry.