Individual provider Active NPI

Erica Rene Ihimekpen

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1982446845
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2024041207 Issued in MO
Practice address
1201 International Dr
Columbia, MO 65202-1612
Phone
(573) 615-2001
Fax
(573) 615-2001
NPI assigned
Jun 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 2024041207 MO Primary

Addresses

Primary practice location

1201 International Dr
Columbia, MO 65202-1612

Mailing address

3403 Jenne Hill Dr
Columbia, MO 65202-4057
Phone (314) 324-8082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20250117001149 MO Practitioner - Nurse Practitioner 9931638020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerpointe Hospital of Columbia LLCGroup PAC ID 0446502652, 20 clinicians

Practice addresses (Care Compare)

1201 International Dr
Columbia, MO 65202-1612
Phone (855) 623-7016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centerpointe Hospital of Columbia, LLC Single Specialty CurrentSince Nov 11, 2024 Accepting new patients

Locations

1201 International Dr
Columbia, MO 65202
Phone (573) 615-2001

6100 Tower Cir
Ste 1000
Franklin, TN 37067
Phone (615) 454-7459

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1982446845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 JENNE HILL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652024057",
            "telephone_number": "314-324-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 INTERNATIONAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652021612",
            "telephone_number": "573-615-2001",
            "fax_number": "573-615-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHIMEKPEN",
        "first_name": "ERICA",
        "middle_name": "RENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2024041207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.