Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chinyere Nwanesidu

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1922887173

Chinyere Nwanesidu is a Nurse Practitioner in Randolph, Massachusetts. Qualified in 2023, 3 years ago. Practices with Modern Psychiatric Nurse Practitioner PC, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2023
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Practice location Address checks out

5 McEnelly Cir
Randolph, MA 02368-3672
Phone: (617) 943-5080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2023126499 (MA)

Record details

NPI number1922887173
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 27, 2023
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Modern Psychiatric Nurse Practitioner Pc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Randolph