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MS. KENNY ADESHOLA AMANZE CRNP-PHM
NPI 1962168468
Nurse Practitioner - Psychiatric/Mental Health in Washington, DC

Active since November 10, 2021PECOS Enrolled
915 RHODE ISLAND AVE NW, WASHINGTON, DC 20001(240) 643-5160(202) 644-7024 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2026, Jun 13, 2025, Nov 10, 2021 (3 updates tracked since 2021).

About Ms. Kenny Adeshola Amanze Crnp-phm NPPES

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

MS. KENNY ADESHOLA AMANZE CRNP-PHM (NPI 1962168468) is an individual psychiatric/mental health provider in Washington, District Of Columbia, licensed in Maryland (R207092) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1962168468
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. KENNY ADESHOLA AMANZECredential: CRNP-PHM
Location Address915 RHODE ISLAND AVE NWWashington, DC 20001-4153
Mailing Address2409 Baikal LoopUpper Marlboro, MD 20774-7051 · (240) 643-5160
Phone(240) 643-5160
Fax(202) 644-7024
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 10, 2021
Last NPPES UpdateApril 9, 20263 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1962168468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R207092
Also ListedNurse PractitionerTaxonomy 363L00000X · License NP1031662 (DC)
915 RHODE ISLAND AVE NW, Washington, DC 20001
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Other Identifiers 2

Medicaid1043645344MD
Medicaid1083094056MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kenny Adeshola Amanze Crnp-phm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688062375
PECOS Enrollment IDI20260416001120
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 20001 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

MELISSA CIMINO LGPC
Counselor (Mental Health)
915 RHODE ISLAND AVE NW
WASHINGTON, DC 20001
District of Columbia (202) 232-6810
MRS. LILI JOHNSON LICSW
Social Worker (Clinical)
915 RHODE ISLAND AVE NW
WASHINGTON, DC 20001
District of Columbia (202) 560-0349
BIANCA PADILLA
Counselor (Professional)
915 RHODE ISLAND AVE NW
WASHINGTON, DC 20001
District of Columbia (202) 232-6100
MONICA PATEL LGSW
Social Worker
915 RHODE ISLAND AVE NW
WASHINGTON, DC 20001
District of Columbia (202) 232-6100
WEELAY GONYON
Social Worker (Clinical)
915 RHODE ISLAND AVE NW
WASHINGTON, DC 20001
District of Columbia (202) 232-6100
NIGEL GARNETT
Community Health Worker
915 RHODE ISLAND AVE NW
WASHINGTON, DC 20001
District of Columbia (202) 560-0349
DEMARKUS TAYLOR
Case Manager/Care Coordinator
915 RHODE ISLAND AVE NW
WASHINGTON, DC 20001
District of Columbia (202) 232-6100
CHINELO ANADU NURSE PRACTITIONER
Nurse Practitioner (Psychiatric/Mental Health)
915 RHODE ISLAND AVE NW
WASHINGTON, DC 20001
District of Columbia (202) 232-6100

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 Kenny Amanze's NPI number?

The NPI number for Kenny Amanze is 1962168468. It was assigned to this individual provider in the NPPES registry on November 10, 2021.

Where is Kenny Amanze located?

Kenny Amanze practices at 915 Rhode Island Ave NW, Washington, DC 20001. The listed phone number is (240) 643-5160.

What is Kenny Amanze's specialty?

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

Is Kenny Amanze enrolled in Medicare?

Yes. Kenny Amanze is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenny Amanze was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.