Ejobosele Peace Ikhajiagbe, CRNP-PMH
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Chambersburg, PA
NPI 1619648367 · NPPES record last updated Jul 10, 2026
Key facts
- NPI
- 1619648367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- R219201 (MD)
- Practice address
- 100 Chambers Hill Dr Ste 200
Chambersburg, PA 17201-7301 - Phone
- (717) 709-7930
- Fax
- (717) 709-7931
- NPI assigned
- Sep 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Agate Integrated and Behavioral Healthcare Services Inc
Practice addresses (Care Compare)
3216 Greenmount Ave
Baltimore, MD 21218-3438
Phone (443) 934-0084
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220824001664 | MD | Practitioner - Nurse Practitioner | 7911380985 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R219201 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Healthcare Services LLC | Current |
Accepting new patients | |
| Sabaoth Behavioral Healthcare Services LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Agate Integrated and Behavioral Healthcare Services Inc | Current |
Accepting new patients |
Locations
3216 Greenmount Ave
Baltimore, MD 21218
Phone (240) 515-4868
1726 Reisterstown Rd
Ste 212
Pikesville, MD 21208
Phone (443) 501-3204
Interoperability endpoints
- eikhajiagbe422153@wellspan.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R219201 | MD | Yes |
Addresses
Primary practice location
100 Chambers Hill Dr Ste 200
Chambersburg, PA 17201-7301
Mailing address
111 Chambers Hill Dr Ste 200
Chambersburg, PA 17201-7304
Phone (717) 709-7922
Other practice location 1
11 Winlo Ct
Randallstown, MD 21133-2052
Phone (443) 657-3413
Other providers in Chambersburg, PA
- Heidi Lorraine Hutchison
- Jennifer Louise Hutsler
- Anna Hykes
- Noor Idilbi Wazzan
- Michael K Idun
- Innovative Dental of CV Corp
- Innovative Dental Solutions
- Innovative Rehab Associates
- Amina Iqbal
- Tara Irvin
All providers in Chambersburg, PA · Psychiatric/Mental Health Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.