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

Innocent Onyebuchi Idemili

Individual provider Psychiatry Physician · NPI 1659229102

Innocent Onyebuchi Idemili is a Nurse Practitioner in North Chesterfield, Virginia. Qualified in 2025, 1 year ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
1
Licensed in
OR
In the registry since
2026

Practice location Address checks out

411 Branchway Rd Ste 109
North Chesterfield, VA 23236-3034
Phone: (804) 901-0053
Fax: (804) 509-0514
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 10042242 (OR)

Record details

NPI number1659229102
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 19, 2026
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026
Mailing address411 Branchway Rd Ste 109, North Chesterfield, VA 23236-3034

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in North Chesterfield