Individual provider Active NPI

Janefrances Chinwe Ezimorah

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1104073303
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R114571 Issued in MD
Practice address
3327 Superior LN Ste 206
Bowie, MD 20715-1941
Phone
(240) 206-8345
Fax
(240) 245-3064
NPI assigned
Aug 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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 R114571 MD Primary

Addresses

Primary practice location

3327 Superior LN Ste 206
Bowie, MD 20715-1941

Mailing address

3327 Superior LN Ste 206
Bowie, MD 20715-1941
Phone (240) 206-8345

Other names 1

  • Janefrances Chinwe Anaradoh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20090521000388 DC Practitioner - Nurse Practitioner 2668521634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
JMJ Health Care Services LLCGroup PAC ID 1355596040, 2 clinicians

Practice addresses (Care Compare)

6911 Laurel Bowie Rd
Suite 209
Bowie, MD 20715-1712
Phone (240) 206-8345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin Adewale MD PC Past Accepting new patients
JMJ Health Care Services, LLC PastSince Feb 11, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1104073303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3327 SUPERIOR LN STE 206",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151941",
            "telephone_number": "240-206-8345",
            "fax_number": "240-245-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 SUPERIOR LN STE 206",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151941",
            "telephone_number": "240-206-8345",
            "fax_number": "240-245-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZIMORAH",
        "first_name": "JANEFRANCES",
        "middle_name": "CHINWE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R114571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANEFRANCES",
            "last_name": "ANARADOH",
            "middle_name": "CHINWE",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.