Individual provider Active NPI

Margaret Ada Mbachu

  • Family Nurse Practitioner
  • Chantilly, VA
National Provider Identifier
1265962591
Registry record updated Jun 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1216566 Issued in IN
Practice address
14121 Parke Long CT
Chantilly, VA 20151-1647
Phone
(212) 323-9209
Fax
(219) 663-6758
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F1216566 IN Primary

Addresses

Primary practice location

14121 Parke Long CT
Chantilly, VA 20151-1647

Mailing address

965 Alderbrook CT
Crown Point, IN 46307-2637
Phone (219) 323-9209

Other names 1

  • Ms. Margaret Ada Chikezie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180314000817 IN Practitioner - Nurse Practitioner 2365704152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Housecall Doctors. P.C.Group PAC ID 8022292861, 10 clinicians

Practice addresses (Care Compare)

9030 Cline Ave
Highland, IN 46322-2204
Phone (219) 750-9497

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F1216566INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Housecall Doctors. P.C. CurrentSince Dec 5, 2018 Accepting new patients
Housecall Doctors PC Past Accepting new patients

Locations

9030 Cline Ave
Highland, IN 46322
Phone (219) 750-9474

8300 Broadway
Ste D1
Merrillville, IN 46410
Phone (219) 750-9497

Organizations & group practices 2

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 2

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": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498435200000",
    "number": "1265962591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 ALDERBROOK CT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072637",
            "telephone_number": "219-323-9209",
            "fax_number": "219-663-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14121 PARKE LONG CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511647",
            "telephone_number": "212-323-9209",
            "fax_number": "219-663-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBACHU",
        "first_name": "MARGARET",
        "middle_name": "ADA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F1216566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "CHIKEZIE",
            "middle_name": "ADA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chantilly, VA

Sources for this page

Verify at the official NPI Registry.