Individual provider Active NPI

Chioma Mba

  • Psychiatric/Mental Health Nurse Practitioner
  • Chester, VA
National Provider Identifier
1013708163
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
24193540 Issued in VA
Practice address
4501 W Hundred Rd
Chester, VA 23831-1774
Phone
(908) 875-2190
NPI assigned
May 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 24193540 VA Primary

Addresses

Primary practice location

4501 W Hundred Rd
Chester, VA 23831-1774

Mailing address

4501 W Hundred Rd
Chester, VA 23831-1774
Phone (908) 875-2190

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
I20260223003650 VA Practitioner - Nurse Practitioner 7113408634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Love and Humble Medical CareGroup PAC ID 5890177539, 4 clinicians

Practice addresses (Care Compare)

9844 Lori Rd
Suite 102
Chesterfield, VA 23832-6691
Phone (203) 507-5653

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24193540VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Love and Humble Medical Care Psychiatric/Mental Health CurrentSince Feb 1, 2026 Accepting new patients

Locations

9844 Lori Rd
Ste 102
Chesterfield, VA 23832
Phone (203) 507-5653

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1013708163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 W HUNDRED RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311774",
            "telephone_number": "908-875-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 W HUNDRED RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311774",
            "telephone_number": "908-875-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBA",
        "first_name": "CHIOMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "24193540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

Verify at the official NPI Registry.