Active NPI
Chinyere Recheal Nzekwe, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Laurel, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R185059
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R185059 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairland Behavioral Health Inc | Psychiatric/Mental Health | Current | Accepting new patients |
| Ability Behavioral Health Inc | Current | Accepting new patients | |
| Asten Nursing and Behavioral Health LLC | Psychiatric/Mental Health | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Laurel, MD
- NPI 1114638939
DC
-
- Psychiatric/Mental Health Nurse Practitioner
- Largo, MD
- NPI 1427670090
DC
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lanham, MD
- NPI 1316522006
DC, Psychiatric/Mental Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.