Active NPI
Ambrose Oyemhen Ukpebor
- Psychiatric/Mental Health Nurse Practitioner
- Morrisville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2025030616
- Practice address
- 417 Durants Neck LN
Morrisville, NC 27560-5852 - Phone
- (339) 229-2392
- NPI assigned
- Sep 1, 2025
- Last updated
- Sep 1, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2025030616 | NC | Primary |
Addresses
Primary practice location
417 Durants Neck LN
Morrisville, NC 27560-5852
Mailing address
417 Durants Neck LN
Morrisville, NC 27560-5852
Phone (339) 229-2392
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1100 Logger CT
Suite 101
Raleigh, NC 27609-8506
1100 Logger CT
Suite 101
Raleigh, NC 27609-8525
3204 Wiley Dr
North Myrtle Beach, SC 29582-4760
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025030616 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renewal Health & Recovery Clinic | Current | Accepting new patients | |
| Freedom House Recovery Center, Inc. | Current | Accepting new patients |
Locations
104 New Stateside Dr
Chapel Hill, NC 27516
Phone (833) 800-1505
118 New Stateside Dr
Chapel Hill, NC 27516
Phone (833) 800-1505
355 S Madison Blvd
Ste C
Roxboro, NC 27573
Phone (336) 599-8366
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Cary, NC
- NPI 1083575310
-
- Community/Behavioral Health Agency
- Roxboro, NC
- NPI 1093986523
-
- Community/Behavioral Health Agency
- Chapel Hill, NC
- NPI 1548490378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756684800000",
"number": "1790664944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 DURANTS NECK LN",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275605852",
"telephone_number": "339-229-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 DURANTS NECK LN",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275605852",
"telephone_number": "339-229-2392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UKPEBOR",
"first_name": "AMBROSE",
"middle_name": "OYEMHEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-01",
"last_updated": "2025-09-01",
"certification_date": "2025-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "2025030616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morrisville, NC
- Truevision Eye Care OD PA
- Trust Rehab, LLC
- Jenny Tu, DDS
- Yasmin Ayesha Uddin
- Chioma Uchechi Ugwa, RPH
- Unc Physicians Group Practices II, LLC
- Unc Physicians Group Practices II, LLC (UNC Health Raleigh Orthopedic Clinic)
- Unc Physicians Group Practices II, LLC (UNC Health Cary Orthopaedics and Sports Medicine Specialists)
- Unc Physicians Network LLC
- Unc Physicians Network LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; 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.