AKANINYENE ETUKUDOH PMHNP
NPI 1205597887
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Q: What is Akaninyene Etukudoh's NPI number?

The NPI number for Akaninyene Etukudoh is 1205597887. It was assigned to this individual provider in the NPPES registry on January 5, 2022. The provider is also known as Victor Etukudoh.

Q: What is Akaninyene Etukudoh's specialty?

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

Active since January 05, 2022PECOS Enrolled

1095 E INDIAN SCHOOL RD, PHOENIX, AZ 85014(623) 439-7645 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2022, Jan 5, 2022 (2 updates tracked since 2022).

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About Akaninyene Etukudoh Pmhnp NPPES

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

AKANINYENE ETUKUDOH PMHNP (NPI 1205597887) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (267251) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205597887

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameAKANINYENE ETUKUDOHCredential: PMHNP

Location Address1095 E INDIAN SCHOOL RDPhoenix, AZ 85014-4801

Mailing Address1095 E Indian School Rd Ste 700Phoenix, AZ 85014-4846 · (602) 515-9893

Phone(623) 439-7645

Sole ProprietorYes

Enumeration DateJanuary 5, 2022

Last NPPES UpdateJuly 29, 20222 updates tracked since enumeration

NPPES CertifiedMarch 31, 2022

✔ NPI 1205597887 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 AZ · 267251

Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License 267251 (AZ)

1095 E INDIAN SCHOOL RD, Phoenix, AZ 85014

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Other Names 1

Other Name (5)Victor Etukudoh

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Akaninyene Etukudoh Pmhnp 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 85014 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.

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 Akaninyene Etukudoh's NPI number?

The NPI number for Akaninyene Etukudoh is 1205597887. It was assigned to this individual provider in the NPPES registry on January 5, 2022. The provider is also known as Victor Etukudoh.

Where is Akaninyene Etukudoh located?

Akaninyene Etukudoh practices at 1095 E Indian School Rd, Phoenix, AZ 85014. The listed phone number is (623) 439-7645.

What is Akaninyene Etukudoh's specialty?

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

Is Akaninyene Etukudoh enrolled in Medicare?

Yes. Akaninyene Etukudoh is registered in the Medicare PECOS enrollment system.

What insurance does Akaninyene Etukudoh accept?

Health plans from Antidote Health Plan of Arizona, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Akaninyene Etukudoh 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 Akaninyene Etukudoh was last updated on July 29, 2022. 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.