Individual provider Active NPI

Chijioke Ernie Nwankwo, DNP, CRNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pottstown, PA
National Provider Identifier
1275135386
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP022350 Issued in PA
Practice address
404 E High St
Pottstown, PA 19464-5622
Phone
(484) 973-6661
Fax
(610) 323-6058
NPI assigned
Nov 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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 SP022350 PA Primary

Addresses

Primary practice location

404 E High St
Pottstown, PA 19464-5622

Mailing address

404 E High St
Pottstown, PA 19464-5622
Phone (484) 973-6661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210609003646 PA Practitioner - Nurse Practitioner 8729488952 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ramesh B Eluri MD PC CurrentSince Feb 16, 2021 Accepting new patients
Resilience Behavioral Health LLC Current Accepting new patients
Reading Behavioral Healthcare, LLC CurrentSince Aug 22, 2021 Accepting new patients

Locations

100 Eagleville Rd
Eagleville, PA 19403
Phone (610) 539-6000

404 E High St
Pottstown, PA 19464
Phone (484) 973-6661

201 Wellness Way
Reading, PA 19605
Phone (484) 339-6037

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": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1275135386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645622",
            "telephone_number": "484-973-6661",
            "fax_number": "610-323-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645622",
            "telephone_number": "484-973-6661",
            "fax_number": "610-323-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANKWO",
        "first_name": "CHIJIOKE",
        "middle_name": "ERNIE",
        "credential": "DNP, CRNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP022350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.