Chidinma Maureen Ezennaka, DNP-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5017952 Issued in NC

Practice address

6649 Thistle Down Dr
Harrisburg, NC 28075-6687

Phone

(980) 226-8360

NPI assigned

Apr 12, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, OK, KY, AZ, IA, NH, VT, MN, WA, FL10 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 10

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Care Talk Health FL PAGroup PAC ID 3173995966, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Care Talk Health FL PA

  • Public Health & General Preventive Medicine Physician
  • Bethesda, MD
  • NPI 1477263077

  NC

  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IA, MN, NC, NH, WA

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AZ, KY, OK, VT

  Medicare reassignment NPD
• Medcare Telehealth Inc

  • Clinic/Center
  • Orlando, FL
  • NPI 1619764305
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1003502238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6649 THISTLE DOWN DR",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280756687",
            "telephone_number": "980-226-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6649 THISTLE DOWN DR",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280756687",
            "telephone_number": "980-226-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZENNAKA",
        "first_name": "CHIDINMA",
        "middle_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Ebert
• Ec Opco Harrisburg LP (Elmcroft of Harrisburg)
• Eckerd Corporation (Rite Aid Pharmacy 11446)
• Nicole Ellerbe, MA, LCMHC
• Essential Wellness Counseling PLLC
• Richard A. Fellman, MD
• Angela Darlene Ferguson, LCMHC
• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• Forsyth Medical Group, LLC (ReEnvision)
• Yvonne Foster

• Family Nurse Practitioner in Harrisburg, NC
• Providers in Harrisburg, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.