ADAOBI EZEANOLUE (APRN) – Family Nurse Practitioner, NPI 1275988115

ADAOBI EZEANOLUE (APRN) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN002189 (NV). The NPI Number for ADAOBI EZEANOLUE (APRN) is 1275988115

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ADAOBI EZEANOLUE (APRN)
NPI
1275988115
Phone
(702) 310-9110
Address
1701 BEARDEN DR
Enumeration Date
28 April 2016
Last Update Date
26 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7023109110
Graduation Year
2015 (11 years ago)
PAC ID
9830417971
Group Practice PAC ID
9335039783
Professional Enrollment ID
I20160906001588
Address ID
NV891064146LA1701XWAYX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

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Provider Addresses for ADAOBI EZEANOLUE (APRN)

  • 1701, Wellness Way, Las Vegas, Clark County, Nevada, 89106, United States

    STE 200

    LAS VEGAS, NV 891064189

    Phone: (702) 310-9110

    Fax: (702) 310-9114

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $1,157.

Total Amount is formed as General ($1,157) + Research ($0) + Ownership ($0) = $1,157.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Curonix LLC ($417).

Total Amount

$1,157

General + Research + Ownership

Payments

22

Total payment records

General Amount

$1,157

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160906001588INurse PractitionerNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7330$0
99213Established patient office or other outpatient visit, 20-29 minutes2617$0
80307Testing for presence of drug, by chemistry analyzers2016$0
View full utilization report →

Insurance plans in this area (ZIP 89106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335039783View full group profile
NameSpecialtyState
Physician AssistantNV
Nurse PractitionerNV
Physician AssistantNV
Physician AssistantNV
P S Y C H I A T R YNV
Interventional Pain Management, Internal MedicineNV
Nurse PractitionerNV
Interventional Pain Management, Internal MedicineNV
-NV
-NV

Reviews

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Frequently asked questions

How is ADAOBI EZEANOLUE (APRN) identified in CMS data?
CMS-hosted NPPES data lists ADAOBI EZEANOLUE (APRN) with NPI 1275988115.
Is ADAOBI EZEANOLUE (APRN) still practicing?
ADAOBI EZEANOLUE (APRN) is currently listed as active in the public NPI registry.
What is ADAOBI EZEANOLUE (APRN)'s primary classification?
Family Nurse Practitioner is the headline specialty for ADAOBI EZEANOLUE (APRN) here. Clinical services aligned with this taxonomy classification.
Where should I expect ADAOBI EZEANOLUE (APRN) on a map?
Expect Las Vegas, Nevada as a primary anchor for ADAOBI EZEANOLUE (APRN) unless the record lists multiple sites.
Why does ADAOBI EZEANOLUE (APRN) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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