ELSIE OGE IZUNWANNE ADIBE APRN
NPI 1962960930
Nurse Practitioner - Psychiatric/Mental Health in Tacoma, WA

Active since March 07, 2019PECOS Enrolled
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431(253) 968-2252 Get Directions Write a Review

NPPES record last updated: July 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 23, 2022, Mar 3, 2021, Jan 27, 2021 and 2 more (5 updates tracked since 2019).

About Elsie Oge Izunwanne Adibe Aprn NPPES

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

ELSIE OGE IZUNWANNE ADIBE APRN (NPI 1962960930) is an individual psychiatric/mental health provider in Tacoma, Washington, licensed in Washington (AP61295115) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brockton.

NPPES Registry Identity

NPI1962960930
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameELSIE OGE IZUNWANNE ADIBECredential: APRN
Location AddressMADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVETacoma, WA 98431-4342
Mailing Address231 Main St Ste 300Brockton, MA 02301-4342 · (508) 586-2660
Sole ProprietorNo
Enumeration DateMarch 7, 2019
Last NPPES UpdateJuly 23, 20225 updates tracked since enumeration
NPPES CertifiedJuly 23, 2022
✔ NPI 1962960930 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
Licenses✔ Licensed in WA · AP61295115✔ Licensed in TX · 1028699✔ Licensed in MA · RN2330477
Also ListedRegistered NurseTaxonomy 163W00000X · License 946868 (TX)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, Tacoma, WA 98431

Secondary Practice Location 1

Location 1231 Main St Ste 300Brockton, MA 02301-4342 · Phone (508) 586-2660

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elsie Oge Izunwanne Adibe Aprn 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.

Medicare Billing Reassignment

Medicare enrollment records show Elsie Adibe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
30 TAUNTON GREEN, SUITE 5
Taunton, MA 02780
  • Reassigned Medicare billing, Massachusetts enrollment
  • 689 clinicians in this Medicare group

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 98431 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Social Worker (Clinical)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Psychologist (Clinical)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Counselor (Mental Health)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Registered Nurse (Case Management)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Military Health Care Provider
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Physician Assistant (Medical)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
General Practice
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Emergency Medicine
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431

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 Elsie Adibe's NPI number?

The NPI number for Elsie Adibe is 1962960930. It was assigned to this individual provider in the NPPES registry on March 7, 2019.

Where is Elsie Adibe located?

Elsie Adibe practices at Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-2252.

What is Elsie Adibe's specialty?

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

Is Elsie Adibe enrolled in Medicare?

Yes. Elsie Adibe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elsie Adibe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elsie Adibe reassigns Medicare benefits to Northeast Health Services, LLC (Taunton, MA). 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 Elsie Adibe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elsie Adibe accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Elsie Adibe 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 Elsie Adibe was last updated on July 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.