Individual provider Active NPI

Chineme Moneke, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1427784263
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
278254 Issued in AZ
Practice address
17215 N 72ND Dr Ste A105
Glendale, AZ 85308-8557
Phone
(480) 393-3515
Fax
(480) 361-4264
NPI assigned
Jul 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 278254 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 278254 AZ Primary

Addresses

Primary practice location

17215 N 72ND Dr Ste A105
Glendale, AZ 85308-8557

Mailing address

17215 N 72ND Dr Ste A105
Glendale, AZ 85308-8557
Phone (480) 393-3515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230227002328 AZ Practitioner - Nurse Practitioner 3870966633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Wesley Community Center IncGroup PAC ID 9032264239, 14 clinicians
Healing Horizons PsychiatryGroup PAC ID 7618331398, 6 clinicians

Practice addresses (Care Compare)

1300 S 10TH St
Phoenix, AZ 85034-4516
Phone (602) 368-9888

17215 N 72ND Dr
Suite A105
Glendale, AZ 85308-8557
Phone (480) 393-3515

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
278254AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Community Center, Inc CurrentSince Nov 8, 2022 Accepting new patients
Healing Horizons Psychiatry CurrentSince Jun 15, 2025 Accepting new patients
Wesley Community Center Inc CurrentSince Nov 8, 2022 Accepting new patients
Wesley Community Center, Inc Past Accepting new patients
Surprise Behavioral Hospital LP Past Accepting new patients
Wesley Community Center Inc Past Accepting new patients

Locations

17215 N 72nd Dr
Ste A105
Glendale, AZ 85308
Phone (480) 393-3515

1300 S 10th St
Phoenix, AZ 85034
Phone (602) 257-4323

16561 N Parkview Pl
Surprise, AZ 85374
Phone (602) 550-4071

Interoperability endpoints

  • Direct secure messaging: chineme.moneke-mmwchc@contexture.medalliesmail.com

Organizations & group practices 6

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": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1427784263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17215 N 72ND DR STE A105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088557",
            "telephone_number": "480-393-3515",
            "fax_number": "480-361-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17215 N 72ND DR STE A105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088557",
            "telephone_number": "480-393-3515",
            "fax_number": "480-361-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONEKE",
        "first_name": "CHINEME",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "278254",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "278254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.