DR. IFEATU B ENEMMUO PMHNP
NPI 1952969008
Nurse Practitioner - Psychiatric/Mental Health in Columbia, SC

Q: What is Ifeatu Enemmuo's NPI number?

The NPI number for Ifeatu Enemmuo is 1952969008. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Q: What is Ifeatu Enemmuo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ifeatu Enemmuo was last updated on July 23, 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.

Active since June 04, 2019PECOS Enrolled

4500 8TH DIVISION RD, COLUMBIA, SC 29207(803) 751-0455 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 30, 2025, Aug 7, 2019, Jul 16, 2019 and 1 more (4 updates tracked since 2019).

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About Dr. Ifeatu B Enemmuo Pmhnp NPPES

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

DR. IFEATU B ENEMMUO PMHNP (NPI 1952969008) is an individual psychiatric/mental health provider in Columbia, South Carolina, licensed in California (95011649) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952969008

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. IFEATU B ENEMMUOCredential: PMHNP

Location Address4500 8TH DIVISION RDColumbia, SC 29207-5700

Mailing Address4500 8th Division RdColumbia, SC 29207-5700 · (803) 751-0455

Phone(803) 751-0455

Sole ProprietorNo

Enumeration DateJune 4, 2019

Last NPPES UpdateJuly 23, 20254 updates tracked since enumeration

NPPES CertifiedJuly 23, 2025

✔ NPI 1952969008 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 CA · 95011649

4500 8TH DIVISION RD, Columbia, SC 29207

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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 (PECOS)

Dr. Ifeatu B Enemmuo Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 29207 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 20

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

BRENDAN LUSHBOUGH DO

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