Walter Onyeka Adigwe
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Raleigh, NC
NPI 1962260406 · NPPES record last updated Apr 2, 2025
Key facts
- NPI
- 1962260406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 5021032 (NC)
- Practice address
- 6711 Harter CT
Raleigh, NC 27610-6589 - Phone
- (919) 395-5202
- NPI assigned
- Mar 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Freedom House Recovery Center Inc
Practice addresses (Care Compare)
355 S Madison Blvd
Suite C
Roxboro, NC 27573-5485
Phone (833) 800-1505
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250403000459 | NC | Practitioner - Nurse Practitioner | 4486177169 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172859 | NC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom House Recovery Center, Inc. | Current |
Accepting new patients | |
| Freedom House Recovery Center, Inc. | Current |
Accepting new patients | |
| Coark Inc | Current |
Accepting new patients | |
| Garner Behavioral Hospital, LLC | Current |
Accepting new patients | |
| Freedom House Recovery Center, Inc. | Current | Accepting new patients | |
| Holly Hill Hospital LLC | Psychiatric/Mental Health | 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
3200 Waterfield Dr
Garner, NC 27529
Phone (919) 502-1187
3019 Falstaff Rd
Raleigh, NC 27610
Phone (919) 250-7000
355 S Madison Blvd
Ste C
Roxboro, NC 27573
Phone (336) 599-8366
133 S Main St
Warrenton, NC 27589
Phone (252) 456-6541
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 172859 | NC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5021032 | NC | Yes |
Addresses
Primary practice location
6711 Harter CT
Raleigh, NC 27610-6589
Mailing address
6711 Harter CT
Raleigh, NC 27610-6589
Phone (919) 395-5202
Other providers in Raleigh, NC
- Omotunde Adeyemi
- Sanju Adhikari
- Susmita Adhikari
- Sanjay Narayanaswamy Adi
- Frances I Adigwe
- Stella Oluchi Adima
- Sewa Adjevi-Neglokpe
- Adjust-Ology Chiropractic and Whole Body Health PLLC
- Catherine J Adkins
- Katharine Hume Adkins
All providers in Raleigh, NC · Psychiatric/Mental Health Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.