OGHENETEGA EWEFADA VANCE FNP
NPI 1104416007
Nurse Practitioner - Family in Guadalupe, AZ

Q: What is Oghenetega Vance's NPI number?

The NPI number for Oghenetega Vance is 1104416007. It was assigned to this individual provider in the NPPES registry on January 25, 2021. The provider is also known as Oghenetega Eguriase Ewefada.

Q: What is Oghenetega Vance's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Oghenetega Vance was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 25, 2021PECOS Enrolled

5825 E CALLE GUADALUPE, GUADALUPE, AZ 85283(833) 855-9973 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2021, Jul 6, 2021, Jan 25, 2021 (3 updates tracked since 2021).

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About Oghenetega Ewefada Vance Fnp NPPES

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

OGHENETEGA EWEFADA VANCE FNP (NPI 1104416007) is an individual family provider in Guadalupe, Arizona, licensed in Minnesota (F07210101) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104416007

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameOGHENETEGA EWEFADA VANCECredential: FNP

Location Address5825 E CALLE GUADALUPEGuadalupe, AZ 85283-2664

Mailing Address5825 E Calle GuadalupeGuadalupe, AZ 85283-2664 · (480) 344-6000

Phone(833) 855-9973

Sole ProprietorNo

Enumeration DateJanuary 25, 2021

Last NPPES UpdateSeptember 27, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2021

✔ NPI 1104416007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · F07210101

Also ListedRegistered NurseTaxonomy 163W00000X · License 2150369 (MN)

5825 E CALLE GUADALUPE, Guadalupe, AZ 85283

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Other Names 1

Former Name (1)Oghenetega Eguriase Ewefada

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oghenetega Ewefada Vance Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85283 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 7

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

DAVID T WILSON DO

Family Medicine