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

Lynda Ikeogu, RN

Individual provider Registered Nurse · NPI 1043073539

Lynda Ikeogu, RN is a Nurse Practitioner in Randolph, Massachusetts. Qualified in 2024, 2 years ago. Practices with Northeast Health Services LLC, a 469-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2024
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

16 Lancaster Rd
Randolph, MA 02368-4942
Phone: (781) 300-1495
Fax: (781) 767-5939
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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 RN271418 (MA)
Registered Nurse Taxonomy 163W00000X · Licence 271418 (MA)

Record details

NPI number1043073539
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedFebruary 6, 2024
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address16 Lancaster Rd, Randolph, MA 02368-4942

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Northeast Health Services Llc — 469 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Randolph