Ekenechi Ezeanolue

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

406102 Issued in NY

Practice address

250 Lucius Gordon Dr Ste 2
West Henrietta, NY 14586-9662

Phone

(585) 471-3407

Fax

(866) 557-9539

NPI assigned

Sep 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henrietta Psychiatric NP Care, PLLCGroup PAC ID 7416333745, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Henrietta Psychiatric NP Care, PLLC

  • Community/Behavioral Health Agency
  • West Henrietta, NY
  • NPI 1114648276
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1912734682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 LUCIUS GORDON DR STE 2",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145869662",
            "telephone_number": "585-471-3407",
            "fax_number": "866-557-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LUCIUS GORDON DR STE 2",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145869662",
            "telephone_number": "585-471-3407",
            "fax_number": "866-557-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEANOLUE",
        "first_name": "EKENECHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie D'Orazio, LPN
• Janet Deasey, LPN
• Nicole L Dixon, LPN
• Kyla Edelman, PA-C
• Rebecca Marie Erdle, PHARMD
• Flower City Occupational Therapy, PLLC
• Jacqueline Fontaine, CNA
• Sasha Nicole Fowler
• Olivia Robin Frink, RN
• Wendy Jo Garrett, NP, PMHNP

• Psychiatric/Mental Health Nurse Practitioner in West Henrietta, NY
• Providers in West Henrietta, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.