Individual provider

Ifeoma Ezeigwe, NP

Gerontology Nurse Practitioner Adult Health Nurse Practitioner Psychiatric/Mental Health Nurse Practitioner Medicare enrolled

Ifeoma Ezeigwe, NP is a Gerontology Nurse Practitioner in Tyler, TX, registered under NPI 1104329218. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 601 BEECHWOOD DR, Tyler, TX 75701. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

601 BEECHWOOD DR, Tyler, TX 75701 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
AP133917 TX Gerontology Nurse Practitioner primary
AP133917 TX Adult Health Nurse Practitioner
AP133917 TX Psychiatric/Mental Health Nurse…

This provider holds licence AP133917 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
8022432798
Enrollment ID
I20200728002168

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Gerontology covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LG0600X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Gerontology

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LG0600X Gerontology Nurse Practitioner Gerontology AP133917 TX primary
363LA2200X Adult Health Nurse Practitioner Adult Health AP133917 TX
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health AP133917 TX

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104329218 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 14, 2018
Last updatedDec 6, 2023
StatusActive
Sole proprietorYes
CredentialNP
Practice address 601 BEECHWOOD DR
Tyler, TX 75701
(903) 593-1246
Fax (903) 593-1246
This record was updated on Dec 6, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1104329218 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 3 2 9 2 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 6 2 9 2 2

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104329218?
NPI 1104329218 is the National Provider Identifier assigned to Ifeoma Ezeigwe, NP in Tyler, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Gerontology cover?
Definition to come...
How do I contact Ifeoma Ezeigwe, NP?
The phone number on file with NPPES is (903) 593-1246, last updated Dec 6, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Ifeoma Ezeigwe, NP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104329218 a valid number?
Yes. 1104329218 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.