Active NPI
Nneka Ezinwanne Ikedinma
- Psychiatric/Mental Health Nurse Practitioner
- Whitehall, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP026562
- Practice address
- 881 3Rd St Ste B5
Whitehall, PA 18052-5929 - Phone
- (610) 776-9440
- Fax
- (610) 776-9444
- NPI assigned
- Dec 21, 2018
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP026562 | PA | Primary |
| Family Nurse Practitioner | 363LF0000X | SP019813 | PA |
Addresses
Primary practice location
881 3Rd St Ste B5
Whitehall, PA 18052-5929
Mailing address
881 3Rd St Ste B5
Whitehall, PA 18052-5929
Phone (610) 776-9440
Other practice location 1
838 Penn St
Reading, PA 19602-1108
Phone (610) 988-4838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190411000026 | PA | Practitioner - Nurse Practitioner | 9133460660 | Reassigns benefits to 3 organizations |
| I20240510000318 | TX | Practitioner - Nurse Practitioner | 9133460660 | |
| I20250903004431 | NM | Practitioner - Nurse Practitioner | 9133460660 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Haven Behavioral Services of Reading LLC
Practice addresses (Care Compare)
1800 N 12TH St
Suite 2
Reading, PA 19604-1545
Phone (610) 816-5728
Hospital & facility affiliations
- Reading Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP019813 | PA | MD | Family Nurse Practitioner |
| SP026562 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Psychiatric & Behavioral Health Services, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Victorybridge Healthcare, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Care Counseling & Children'S Services LLC | Current | Accepting new patients | |
| Haven Behavioral Services of Reading, LLC | Current | Accepting new patients |
Locations
1720 E 32nd St
Silver City, NM 88061
Phone (202) 413-2078
1800 N 12th St
Reading, PA 19604
Phone (610) 375-0544
1800 N 12th St
Ste 2
Reading, PA 19604
Phone (610) 816-5728
881 3rd St
Ste B5
Whitehall, PA 18052
Phone (610) 776-9440
2000 Eberhart Rd
Whitehall, PA 18052
Phone (610) 776-9440
716 N Park Rd
Wyomissing, PA 19610
Phone (610) 375-0544
17211 W Grand Pkwy S
Ste L2
Sugar Land, TX 77479
Organizations & group practices 4
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.
-
- Psychologist
- Reading, PA
- NPI 1164441382
PA, Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Silver City, NM
- NPI 1043091853
Psychiatric/Mental Health
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676073600000",
"number": "1720550296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "881 3RD ST STE B5",
"city": "WHITEHALL",
"state": "PA",
"postal_code": "180525929",
"telephone_number": "610-776-9440",
"fax_number": "610-776-9444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "881 3RD ST STE B5",
"city": "WHITEHALL",
"state": "PA",
"postal_code": "180525929",
"telephone_number": "610-776-9440",
"fax_number": "610-776-9444"
}
],
"practiceLocations": [
{
"address_1": "838 Penn St",
"address_purpose": "LOCATION",
"city": "Reading",
"state": "PA",
"postal_code": "196021108",
"country_code": "US",
"telephone_number": "610-988-4838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IKEDINMA",
"first_name": "NNEKA",
"middle_name": "EZINWANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-21",
"last_updated": "2023-02-11",
"certification_date": "2023-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP026562",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP019813",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitehall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; 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.