DR. ODETTE ANENG NGALLA
NPI 1194488858
Nurse Practitioner - Psychiatric/Mental Health in Detroit, MI

Active since October 20, 2021PECOS Enrolled
21542 MOROSS RD, DETROIT, MI 48236(513) 476-4691 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2025, Oct 20, 2021 (2 updates tracked since 2021).

About Dr. Odette Aneng Ngalla NPPES

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

DR. ODETTE ANENG NGALLA (NPI 1194488858) is an individual psychiatric/mental health provider in Detroit, Michigan, licensed in Michigan (4704310729) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194488858
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. ODETTE ANENG NGALLA
Location Address21542 MOROSS RDDetroit, MI 48236-2041
Mailing Address21542 Moross RdDetroit, MI 48236-2041 · (513) 476-4691
Sole ProprietorNo
Enumeration DateOctober 20, 2021
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1194488858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704310729
21542 MOROSS RD, Detroit, MI 48236

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Odette Aneng Ngalla 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

3

Medicare enrollment records show Odette Ngalla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
3646 MOUNT ELLIOTT ST
Detroit, MI 48207
  • Reassigned Medicare billing, Michigan enrollment
  • 116 clinicians in this Medicare group
Psychiatric/Mental Health
220 W CONGRESS ST FL 2
Detroit, MI 48226
  • Reassigned Medicare billing, Michigan enrollment
Mental Health
21587 WHITTINGTON ST
Farmington Hills, MI 48336
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group

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 48236 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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 Odette Ngalla's NPI number?

The NPI number for Odette Ngalla is 1194488858. It was assigned to this individual provider in the NPPES registry on October 20, 2021.

Where is Odette Ngalla located?

Odette Ngalla practices at 21542 Moross Rd, Detroit, MI 48236. The listed phone number is (513) 476-4691.

What is Odette Ngalla's specialty?

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

Is Odette Ngalla enrolled in Medicare?

Yes. Odette Ngalla is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Odette Ngalla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Odette Ngalla reassigns Medicare benefits to 3 organizations: Team Mental Health Services Inc. (Detroit, MI), Holistic Wellness Services (Detroit, MI) and Children Assessment And Therapy Services LLC (Farmington Hills, MI). 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 Odette Ngalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Odette Ngalla accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Odette Ngalla 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 Odette Ngalla was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.