Adaobi Ezeanolue, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN002189 Issued in NV

Practice address

1701 Bearden Dr
Ste 200
Las Vegas, NV 89106-4189

Phone

(702) 310-9110

Fax

(702) 310-9114

NPI assigned

Apr 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Apex Medical Center 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

65.83 of 100Reported as group

Quality

53.92

Improvement activities

20

Cost

70.7

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ada@amc-nv1.direct.office.nextgen.com

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.

• Apex Medical Center

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1487716304

  NV

  Medicare reassignment Care Compare group
• Apex Medical Center

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1699121046

  Family

  NPD

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1275988115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 BEARDEN DR",
            "address_2": "STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064189",
            "telephone_number": "702-310-9110",
            "fax_number": "702-310-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 BEARDEN DR",
            "address_2": "STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064189",
            "telephone_number": "702-310-9110",
            "fax_number": "702-310-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEANOLUE",
        "first_name": "ADAOBI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "APRN002189",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyes on Las Vegas
• Eyescopelv LLC
• Eyetopia, LLC
• Aubrey Eyre Bohne
• Cosmas Eze, ADMINISTRATOR
• Bibiana Chioma Ezeanolue, D.M.D
• Chinenye Ezeanolue, MD
• Dolue David Ezeanolue, MD
• Echezona Edozie Ezeanolue, M.D.
• Edozie Ezeanolue, MD

• All providers in Las Vegas, NV
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.