Individual provider Active NPI

Chinyere Recheal Nzekwe, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1487235172
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R185059 Issued in MD
Practice address
9808 Pheasant Run CT
Laurel, MD 20708-3192
Phone
(240) 485-6278
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R185059 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R185059 MD Primary

Addresses

Primary practice location

9808 Pheasant Run CT
Laurel, MD 20708-3192

Mailing address

9808 Pheasant Run CT
Laurel, MD 20708-3192
Phone (240) 485-6278

Other names 1

  • Chinyere Recheal Ezeala Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20211220001886 DC Practitioner - Nurse Practitioner 4789075136 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Behavioral Health IncGroup PAC ID 7113376138, 3 clinicians

Practice addresses (Care Compare)

14440 Cherry Lane CT
Suite 201a
Laurel, MD 20707-4946
Phone (240) 294-6682

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R185059MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairland Behavioral Health Inc Psychiatric/Mental Health CurrentSince Apr 29, 2022 Accepting new patients
Ability Behavioral Health Inc CurrentSince Sep 27, 2023 Accepting new patients
Asten Nursing and Behavioral Health LLC Psychiatric/Mental Health CurrentSince Sep 15, 2021 Accepting new patients

Locations

14440 Cherry Lane Ct
Ste 201A
Laurel, MD 20707
Phone (240) 294-6682

9500 Medical Center Dr
Ste 270
Upper Marlboro, MD 20774
Phone (240) 615-7612

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": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1487235172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 PHEASANT RUN CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083192",
            "telephone_number": "240-485-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 PHEASANT RUN CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083192",
            "telephone_number": "240-485-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NZEKWE",
        "first_name": "CHINYERE",
        "middle_name": "RECHEAL",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R185059",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R185059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHINYERE",
            "last_name": "EZEALA",
            "middle_name": "RECHEAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.