1. Home
  2. Directory
  3. Washington
  4. Spokane Valley
  5. Nurse Practitioner
  6. NPI Profile

UDOKA DEBORAH ETI NP
NPI 1093166142
Nurse Practitioner - Psychiatric/Mental Health in Spokane Valley, WA

Active since June 29, 2016PECOS Enrolled
930 N MULLAN RD STE 1, SPOKANE VALLEY, WA 99206(509) 596-1174 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 23, 2023, May 13, 2021, Dec 24, 2019 and 2 more (5 updates tracked since 2016).

About Udoka Deborah Eti Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UDOKA DEBORAH ETI NP (NPI 1093166142) is an individual psychiatric/mental health provider in Spokane Valley, Washington, licensed in Washington (AP60864397) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093166142
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameUDOKA DEBORAH ETICredential: NP
Location Address930 N MULLAN RD STE 1Spokane Valley, WA 99206-4004
Mailing Address930 N Mullan Rd Ste 1Spokane Valley, WA 99206-4004 · (509) 596-1174
Phone(509) 596-1174
Sole ProprietorYes
Enumeration DateJune 29, 2016
Last NPPES UpdateFebruary 23, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
✔ NPI 1093166142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP60864397
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP60864397 (WA), 736381 (TX)
930 N MULLAN RD STE 1, Spokane Valley, WA 99206
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1107 S Division StSpokane, WA 99202-1510 · Phone (509) 838-4651
Location 21401 N Calispel StSpokane, WA 99201-2317 · Phone (509) 838-4651

Other Identifiers 1

Medicaid2125500WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Udoka Deborah Eti Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Udoka Eti reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blossom Behavioral Health LLC
Same address
Psychiatric/Mental Health
930 N MULLAN RD STE 1
Spokane Valley, WA 99206
  • Reassigned Medicare billing, Washington enrollment
NPI 1932773629 (509) 694-3135
Frontier Behavioral Health
6.1 mi
Community/Behavioral Health
107 S DIVISION ST
Spokane, WA 99202
  • Reassigned Medicare billing, Washington enrollment
  • 136 clinicians in this Medicare group
NPI 1861495327 (509) 838-4651

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLOSSOM BEHAVIORAL HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
930 N MULLAN RD STE 1
SPOKANE VALLEY, WA 99206
Spokane County (509) 694-3135

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Udoka Eti's NPI number?

The NPI number for Udoka Eti is 1093166142. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Where is Udoka Eti located?

Udoka Eti practices at 930 N Mullan Rd Ste 1, Spokane Valley, WA 99206. The listed phone number is (509) 596-1174.

What is Udoka Eti's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Udoka Eti enrolled in Medicare?

Yes. Udoka Eti is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Udoka Eti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Udoka Eti reassigns Medicare benefits to 2 organizations: Blossom Behavioral Health LLC (Spokane Valley, WA) and Frontier Behavioral Health (Spokane, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Udoka Eti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Udoka Eti accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Udoka Eti as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Udoka Eti was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.