Mrs Keynadomnicia Chioma Udenze, AGNP-BC - Medicare Nurse Practitioner in Garner, NC

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Mrs Keynadomnicia Chioma Udenze, AGNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Garner, North Carolina. Her current practice location is 500 Benson Rd Ste 115, Garner, North Carolina. You can reach out to her office (for appointments etc.) via phone at (984) 246-2006.

Mrs Keynadomnicia Chioma Udenze is licensed to practice in North Carolina (license number 5009687) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679923635.

Contact Information

Mrs Keynadomnicia Chioma Udenze, AGNP-BC
500 Benson Rd Ste 115,
Garner, NC 27529-3947
(984) 246-2006
(984) 246-2005

Map and Direction




Provider's Profile

Full NameMrs Keynadomnicia Chioma Udenze
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location500 Benson Rd Ste 115, Garner, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679923635
  • Provider Enumeration Date: 06/20/2016
  • Last Update Date: 07/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2365595527
  • Enrollment ID: I20180205000040

Medical Identifiers

Medical identifiers for Mrs Keynadomnicia Chioma Udenze such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679923635NPI-NPPES
AP131087OtherTXNURSE PRACTITIONER LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health AP131087 (Texas)Secondary
363LA2200XNurse Practitioner - Adult Health 5009687 (North Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Keynadomnicia Chioma Udenze allows following entities to bill medicare on her behalf.
Entity NameInpatient Consultants Of North Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669422846
PECOS PAC ID: 5991720591
Enrollment ID: O20051012001172
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191001003503
Entity NameNm Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366928749
PECOS PAC ID: 3375892060
Enrollment ID: O20200109003016
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20210429000604

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Keynadomnicia Chioma Udenze is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Keynadomnicia Chioma Udenze, AGNP-BC
500 Benson Road, Suite 115,
Garner, NC 27529-0016

Ph: (214) 727-8681		Mrs Keynadomnicia Chioma Udenze, AGNP-BC
500 Benson Rd Ste 115,
Garner, NC 27529-3947

Ph: (984) 246-2006

Reviews and Comments


Nurse Practitioner Nurses in Garner, NC

Ms. Aruna Abraham, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 790 Timber Dr, Garner, NC 27529
Phone: 919-779-2883    
Nicole Leigh Smith, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 22 Shipwash Dr, Garner, NC 27529
Phone: 919-213-7874    
Obiageli Okoli,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1140 Benson Rd Ste 201, Garner, NC 27529
Phone: 862-224-2861    
Mrs. Emily Sudweeks, RN, MSN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 200 Health Park Dr Ste 100, Garner, NC 27529
Phone: 919-773-1223    Fax: 919-773-1955
Mrs. Angela Kaloko, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 790 Timber Dr, Garner, NC 27529
Phone: 866-389-2727    
Amber Elizabeth Jaggars, FNP-BC, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 200 Bellarose Lake Way, Garner, NC 27529
Phone: 877-279-5960    
Mrs. Tina H Scott, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 801 Poole Dr, Garner, NC 27529
Phone: 919-779-1440    Fax: 919-662-5084

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.