Individual provider Active NPI

Ijeoma Agnes Mbionwu

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1083578769
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11046255 Issued in FL
Practice address
1800 Mercy Dr
Orlando, FL 32808-5646
Phone
(407) 875-3700
NPI assigned
Dec 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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 APRN11046255 FL Primary

Addresses

Primary practice location

1800 Mercy Dr
Orlando, FL 32808-5646

Mailing address

5000 W Colonial Dr Ste 100
Orlando, FL 32808-7602
Phone (407) 291-1236

Other practice location 1

5000 W Colonial Dr Ste 100
Orlando, FL 32808-7602
Phone (407) 291-1236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260429001768 FL Practitioner - Nurse Practitioner 9931676772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2004 Hawks Landing Dr
Orlando, FL 32820-2785

5000 W Colonial Dr
Orlando, FL 32808-7602

5151 Adanson St
Suite 108
Orlando, FL 32804-1317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025084602FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Starmaris Advanced Psychiatry Care ''LLC'' Psychiatric/Mental Health Current Accepting new patients

Locations

5000 W Colonial Dr
Ste 100
Orlando, FL 32808
Phone (407) 291-1236

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": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1083578769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W COLONIAL DR STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087602",
            "telephone_number": "407-291-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MERCY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328085646",
            "telephone_number": "407-875-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 W Colonial Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328087602",
            "country_code": "US",
            "telephone_number": "407-291-1236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBIONWU",
        "first_name": "IJEOMA",
        "middle_name": "AGNES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-16",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11046255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.