Individual provider Active NPI

Ogechika Chinwe Ejindu, NP

  • Family Nurse Practitioner
  • Cary, NC
National Provider Identifier
1770228207
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016168 Issued in NC
Practice address
6750 Tryon Rd
Cary, NC 27518-7056
Phone
(919) 378-2332
NPI assigned
Apr 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5016168 NC Primary

Addresses

Primary practice location

6750 Tryon Rd
Cary, NC 27518-7056

Mailing address

1200 Matthews Glen Dr
Knightdale, NC 27545-8844
Phone (919) 771-8047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220630002134 NC Practitioner - Nurse Practitioner 0840670303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cary Endocrine and Diabetes Center PAGroup PAC ID 9931379708, 5 clinicians

Practice addresses (Care Compare)

6750 Tryon Rd
Suite 103
Cary, NC 27518-7056
Phone (919) 378-2332

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Endocrine & Diabetes Center PA CurrentSince Jan 1, 2024 Accepting new patients
Moduwell, LLC CurrentSince Jan 28, 2024 Accepting new patients

Locations

6750 Tryon Rd
Cary, NC 27518
Phone (919) 297-2420

6750 Tryon Rd
Ste 103
Cary, NC 27518
Phone (800) 481-0305

Organizations & group practices 2

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": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1770228207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MATTHEWS GLEN DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458844",
            "telephone_number": "919-771-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 TRYON RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187056",
            "telephone_number": "919-378-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJINDU",
        "first_name": "OGECHIKA",
        "middle_name": "CHINWE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.