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

Mrs. Divine C Ezewuzie, RN

Individual provider Registered Nurse · NPI 1831437011

Mrs. Divine C Ezewuzie, RN is a Nurse Practitioner in Malden, Massachusetts. Qualified in 2022, 4 years ago. Practices with Supportive Behavioral Care of MA LLC, a 106-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2013
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

118 Belmont St
Malden, MA 02148-7769
Phone: (781) 656-2256
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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 RN267871 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN267871 (MA)

Record details

NPI number1831437011
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJanuary 23, 2013
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Supportive Behavioral Care Of Ma Llc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients514
Services billed 1,301 a service is one billed item, such as a visit, a test or a procedure
Average patient age83

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Supportive Behavioral Care of MA LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 106 clinicians in the practice; 12 are shown here.

Other providers in Malden