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Provider Profile

Kenneth Ezenwa, RN

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At a glance

About Kenneth Ezenwa

Listed in the NPI registry as a nurse practitioner, Kenneth Ezenwa, RN practices in Canyon Country, CA. Kenneth is also listed as specializing in nurse practitioner — psychiatric/mental health. Medicare claims data shows Kenneth provided 190 services to 55 patients. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, and psychiatric diagnostic evaluation with medical services. NPI 1003379959 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2020

Credentials & Licensing

CA · Nurse Practitioner FurnishingBoard of Registered Nursing
No. 95019781CurrentExpires Nov 2027Since 2022
CA · Registered NurseBoard of Registered Nursing
No. 95080178CurrentExpires Nov 2027Since 2015
NPINational Provider Identifier
1003379959Issued 2019

Snapshot · verify with the board ↗

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Kenneth Ezenwa specialize in?

Kenneth Ezenwa is a nurse practitioner in Canyon Country, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Kenneth Ezenwa located?

Kenneth Ezenwa is listed at 17467 Honey Maple St, Canyon Country, CA 91387. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Kenneth Ezenwa's phone number?

The number on file is (661) 212-5273. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Kenneth Ezenwa?

Kenneth Ezenwa's National Provider Identifier is 1003379959. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Kenneth Ezenwa train?

Kenneth Ezenwa attended Other, graduating in 2020. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Kenneth Ezenwa have?

Kenneth Ezenwa has 6 years experience. Calculated from a graduation year of 2020, reported in the CMS National Downloadable File.

CMS public data

What does Kenneth Ezenwa do most often?

According to Medicare billing data, Kenneth Ezenwa provides treatments such as psychiatric diagnostic evaluation with medical services, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Kenneth Ezenwa's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Kenneth Ezenwa. If this is you, claiming it is free.

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