Chinyere Nwanesidu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2023126499 Issued in MA

Practice address

5 McEnelly Cir
Randolph, MA 02368-3672

Phone

(617) 943-5080

NPI assigned

Sep 27, 2023

Sex

Female

Sole proprietor

Yes

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 MA

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Modern Psychiatric Nurse Practitioner PCGroup PAC ID 0840570297, 18 clinicians

Supportive Behavioral Care of Ma LLCGroup PAC ID 8628346731, 103 clinicians

Vantage Healthcare LLCGroup PAC ID 8224361191, 72 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.67 of 100Reported as group

Quality

71.18

Improvement activities

40

Cost

75.07

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mbilacity Limited Liability Company

  • Psychiatric/Mental Health Nurse Practitioner
  • Randolph, MA
  • NPI 1558163808
  Medicare reassignment NPD Authorized official
• Supportive Behavioral Care of Ma LLC

  • Clinical Psychologist
  • Needham, MA
  • NPI 1780115519
  Medicare reassignment Care Compare group NPD
• Vantage Healthcare LLC

  dba Vantage Healthcare

  • Internal Medicine Physician
  • Canton, MA
  • NPI 1366903551
  Medicare reassignment Care Compare group NPD
• Modern Psychiatric Nurse Practitioner PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1518415983

  MA

  Medicare reassignment Care Compare group NPD
• Keypath Inc

  dba Keypath Behavioral Health Services

  • Community/Behavioral Health Agency
  • Lawrence, MA
  • NPI 1285349969
  Medicare reassignment
• Everwell Collaborative Solutions PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Attleboro, MA
  • NPI 1427902659
  NPD
• Golden Insight Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Hanover, MA
  • NPI 1235711839
  NPD

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1922887173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MCENELLY CIR",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683672",
            "telephone_number": "617-943-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MCENELLY CIR",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683672",
            "telephone_number": "617-943-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANESIDU",
        "first_name": "CHINYERE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2023126499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Wellness & Management, PLLC
• Virginia Noseworthy, LICSW
• Toni Nurse
• Nurses R US Inc. (Home Care Services)
• Chidinma Nwabeke
• Taylor O'Brien
• Valerie O'Reilly, M.A., BCBA, LABA
• Fatima Obazee
• Queenette Odim, RPH
• Gregory Ogle, DPT

• Psychiatric/Mental Health Nurse Practitioner in Randolph, MA
• Providers in Randolph, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.