Innocent Onyebuchi Idemili

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10042242 Issued in OR

Practice address

411 Branchway Rd Ste 109
North Chesterfield, VA 23236-3034

Phone

(804) 901-0053

Fax

(804) 509-0514

NPI assigned

Mar 19, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Maxgio Healthcare LLC

  • Nurse Practitioner
  • North Chesterfield, VA
  • NPI 1891550786

  Psychiatric/Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1659229102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 BRANCHWAY RD STE 109",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363034",
            "telephone_number": "804-901-0053",
            "fax_number": "804-509-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 BRANCHWAY RD STE 109",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363034",
            "telephone_number": "804-901-0053",
            "fax_number": "804-509-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDEMILI",
        "first_name": "INNOCENT",
        "middle_name": "ONYEBUCHI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10042242",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024196971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I Care VA, LLC (Seniors Helping Seniors- Greater Richmond)
• Anna Vladimirovna Ickes, LPC
• Elizabeth Iddings
• Ideal Dental Care , Inc
• Ideal Family Dentistry LLC
• Rose Ifeyinwa Idemili
• Rachel Igou
• Impact Adult Services, LLC
• Impact Wellness Center LLC
• In Good Hands Transportation, LLC

• Psychiatric/Mental Health Nurse Practitioner in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.