Chinomso D Ezenwata, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN001829 Issued in NV

Practice address

3110 S Durango Dr Ste 200
Las Vegas, NV 89117

Phone

(702) 415-9760

Fax

(702) 478-6211

NPI assigned

Mar 26, 2015

Last updated

Sep 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians

Nevada Acute Medical Services-Scherr 1 PCGroup PAC ID 6103101738, 68 clinicians

Nevada Post-Acute Medical Services-Scherr 1 P.CGroup PAC ID 7012292634, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Nevada Acute Medical Services-Scherr 1 PC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1992244438
  Medicare reassignment Care Compare group NPD
• Nevada Post-Acute Medical Services-Scherr 1 PC

  • Hospitalist Physician
  • North Las Vegas, NV
  • NPI 1033658331
  Medicare reassignment Care Compare group NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809
  Medicare reassignment Care Compare group NPD
• House Call Dr Regalado PLLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1053651091
  Medicare reassignment NPD
• CS Pacs 3 West LLC

  • Hospitalist Physician
  • Sunnyvale, CA
  • NPI 1073378238

  NV

  Medicare reassignment NPD
• Chinany Care Corporation

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1164880001
  Authorized official Same address or phone
• Healthcare Partners Medical Group Coats LTD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1487631917
  NPD
• Premier Health and Rehabilitation Center of Las Vegas, LP

  • Skilled Nursing Facility
  • Las Vegas, NV
  • NPI 1760865745
  NPD (past)

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1851785828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30771",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891730771",
            "telephone_number": "702-159-7604",
            "fax_number": "702-478-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 S DURANGO DR STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89117",
            "telephone_number": "702-415-9760",
            "fax_number": "702-478-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZENWATA",
        "first_name": "CHINOMSO",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851785828",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ezeanolue, MD, Precision Surgery Center of Las Vegas, PLLC (Precision Surgery Center)
• Chinazor Thelma Ezeli
• Gillian Ezell
• Layla Nicole Ezell, RBT
• Maya L Ezell
• Munachi Queena Ezenwata, FNP, PMHNP
• Ezer LLC
• Ezer Personal Care Services
• Carlos Javier Ezeta, M.S., ME.D.
• Rutu S Ezhuthachan, MD

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.