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

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: November 08, 2026.

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

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
Open in Google Maps ↗

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., Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

3

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

Freedom Psychiatry Center LLC
13 mi
Psychiatric/Mental Health
7075 W BELL RD STE A-1
Glendale, AZ 85308
  • Reassigned Medicare billing, Arizona enrollment
  • 2 clinicians in this Medicare group
NPI 1306463070 (602) 348-1338
Global Healthcare Services LLC
19 mi
Psychiatric/Mental Health
14233 W POINSETTIA DR
Surprise, AZ 85379
  • Reassigned Medicare billing, Arizona enrollment
NPI 1801577648 (623) 455-1558
Psych Zenhealth PLLC
  • Reassigned Medicare billing, Arizona enrollment
  • 3 clinicians in this Medicare group
No phone listed

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 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.

Which organizations bill Medicare for Akaninyene Etukudoh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Akaninyene Etukudoh reassigns Medicare benefits to 3 organizations: Freedom Psychiatry Center LLC (Glendale, AZ), Global Healthcare Services LLC (Surprise, AZ) and Psych Zenhealth PLLC (AZ). 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 Akaninyene Etukudoh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Akaninyene Etukudoh accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, 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.