Individual provider Active NPI

Ifeoma Nkemdilim Jennifer Elebo, DNP

  • Family Nurse Practitioner
  • Henrico, VA
National Provider Identifier
1013492958
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176472 Issued in VA
Practice address
2301 Hilliard Rd Ste 4
Henrico, VA 23228-4525
Phone
(804) 546-4966
Fax
(804) 250-4583
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024176472 VA Primary
Primary Care Nurse Practitioner 363LP2300X 0024176472 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024176472 VA

Addresses

Primary practice location

2301 Hilliard Rd Ste 4
Henrico, VA 23228-4525

Mailing address

3024 Vanna LN
Henrico, VA 23233-1783
Phone (804) 528-9752

Other practice location 1

3024 Vanna Ln
Henrico, VA 23233-1783
Phone (804) 528-9752

Other names 1

  • Ms. Ifeoma Nkemdilim Jennifer Obidigbo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200408000680 VA Practitioner - Nurse Practitioner 8820427107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Intensivist Services PCGroup PAC ID 9335152107, 234 clinicians

Practice addresses (Care Compare)

1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (804) 289-4500

2301 Hilliard Rd
Suite 4
Henrico, VA 23228-4525
Phone (804) 528-9752

Hospital & facility affiliations

  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elgreat Healthcare Services LLC CurrentSince Mar 1, 2021 Accepting new patients
Southeastern Intensivist Services PC CurrentSince Jan 25, 2025 Accepting new patients
Elgreat Healthcare Services LLC Family CurrentSince Feb 20, 2020 Accepting new patients

Locations

2301 Hilliard Rd
Ste 4
Henrico, VA 23228
Phone (804) 528-9752

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1013492958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 VANNA LN",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331783",
            "telephone_number": "804-528-9752",
            "fax_number": "804-409-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HILLIARD RD STE 4",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232284525",
            "telephone_number": "804-546-4966",
            "fax_number": "804-250-4583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3024 Vanna Ln",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232331783",
            "country_code": "US",
            "telephone_number": "804-528-9752",
            "fax_number": "804-409-8005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELEBO",
        "first_name": "IFEOMA",
        "middle_name": "NKEMDILIM JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176472",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024176472",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024176472",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IFEOMA",
            "last_name": "OBIDIGBO",
            "middle_name": "NKEMDILIM JENNIFER",
            "prefix": "MS.",
            "credential": "DNP, FNP, PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.