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

Dr. Chinomso D Ezenwata, NP-C

Individual provider Family Nurse Practitioner · NPI 1851785828

Dr. Chinomso D Ezenwata, NP-C is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2014, 12 years ago. Practices with Nv Pacs 2 LLC, a 121-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
12
Licensed in
NV
In the registry since
2015
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

3110 S Durango Dr Ste 200
Las Vegas, NV 89117
Phone: (702) 415-9760
Fax: (702) 478-6211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN001829 (NV)

Record details

NPI number1851785828
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorYes
NPI enumeratedMarch 26, 2015
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 22, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Nv Pacs 2 Llc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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