Ifeanyi C Madu, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

818778 Issued in NV

Practice address

390 W Lake Mead Pkwy Ste 120
Henderson, NV 89015-7417

Phone

(725) 220-8477

Fax

(833) 749-0360

NPI assigned

Mar 20, 2019

Last updated

Feb 19, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Ifeanyi John Madu Professional name

Electronic endpoints 1

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, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Great Mind Counseling and Wellness Center LLCGroup PAC ID 9830459502, 3 clinicians

Centerwell Senior Primary Care NV P CGroup PAC ID 5092132340, 71 clinicians

Advanced Care and Wellness Center LLCGroup PAC ID 8527508340, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• My Family Home Health LLC Home health agency, Las Vegas, NV, CCN 297272
• Enhabit Home Health (Pecos) Home health agency, Henderson, NV, CCN 297102

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Great Mind Counseling and Wellness Center LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1437668985
  Medicare reassignment Care Compare group NPD
• Advanced Care & Wellness Center LLC

  • General Practice Physician
  • Las Vegas, NV
  • NPI 1073342390
  Medicare reassignment Care Compare group
• Centerwell Senior Primary Care NV P C

  dba CenterWell Senior Primary Care-Spring Valley

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1285257667
  Medicare reassignment Care Compare group
• Bacchus PC

  dba P3 Health Partners Medical Group

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1134628480
  Medicare reassignment NPD
• Behavioral Health Solutions LLC

  • Community/Behavioral Health Agency
  • Henderson, NV
  • NPI 1548765258
  Medicare reassignment NPD
• Progressive Psychiatric Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1811639685
  Medicare reassignment NPD
• Universal Medical Alliance Inc.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1659995090
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NV

  Medicare reassignment NPD
• Centerwell Senior Primary Care (NV) PC

  dba CenterWell Senior Primary Care-Blue Diamond

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1043926777
  NPD
• Centerwell Senior Primary Care (NV) PC

  dba CenterWell Senior Primary Care-Green Valley

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1053029488
  NPD
• Great Mind Counseling and Wellness Center LLC

  dba Great Mind Counseling and Wellness Center

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1295211126
  NPD
• Spring Valley Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1154481984
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eh Home Health of the West, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Henderson, NV
  • NPI 1295129559
  Care Compare affiliation
• My Family Home Health LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1164036968
  Care Compare affiliation

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1295295038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 W LAKE MEAD PKWY STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157417",
            "telephone_number": "725-220-8477",
            "fax_number": "833-749-0360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1470 E Calvada Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890483906",
            "country_code": "US",
            "telephone_number": "775-210-8338",
            "fax_number": "775-346-9158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "785 Calamus Palm Pl",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890112648",
            "country_code": "US",
            "telephone_number": "310-808-4346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADU",
        "first_name": "IFEANYI",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "818778",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "818778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ifeanyi.madu.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "390 W Lake Mead Pkwy Ste 120",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890157417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "IFEANYI",
            "last_name": "MADU",
            "middle_name": "JOHN",
            "prefix": "MR.",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rebecca Lynn Madeen, LCSW
• Kaonoulu P. Madela
• Ignacio Reina Madrid IV, DDS
• Suzanne Madrid, MS, RD, LD
• Madrona Hospice Care Inc (Integra Hospice)
• Bryann Maestas
• Melissa Maestas
• Pamela Maestas
• Olivia Frances Maestes
• Aryan Mafie

• Family Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.