FIDELIS OSONDU EBEREONWU
NPI 1962005850
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ
About Fidelis Osondu Ebereonwu NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FIDELIS OSONDU EBEREONWU (NPI 1962005850) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (RNP250307) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fidelis Osondu Ebereonwu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85041 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85041
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 Fidelis Ebereonwu's NPI number?
The NPI number for Fidelis Ebereonwu is 1962005850. It was assigned to this individual provider in the NPPES registry on November 21, 2020.
Where is Fidelis Ebereonwu located?
Fidelis Ebereonwu practices at 924 W Jessica Ln, Phoenix, AZ 85041. The listed phone number is (480) 332-8764.
What is Fidelis Ebereonwu's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Fidelis Ebereonwu enrolled in Medicare?
Yes. Fidelis Ebereonwu is registered in the Medicare PECOS enrollment system.
What insurance does Fidelis Ebereonwu accept?
Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., Providence Health Plan and UnitedHealthcare list Fidelis Ebereonwu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Fidelis Ebereonwu was last updated on November 21, 2020. 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.
# Fidelis Osondu Ebereonwu · NPI 1962005850
Psychiatric/Mental Health physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since November 21, 2020.
## Identity
- **NPI:** 1962005850 (Entity type: Individual)
- **Enumerated:** November 21, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RNP250307 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 924 W JESSICA LN, Phoenix, AZ 85041-3978
- **Phone:** (480) 332-8764
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** November 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1962005850) · Data from the CMS NPPES public registry.