PRINCESS KUKUA AHEDOR
NPI 1215401906
Nurse Practitioner - Psychiatric/Mental Health in El Paso, TX

Active since January 15, 2019PECOS EnrolledAccepts Medicare Assignment
2100 GEORGE DIETER DR, EL PASO, TX 79936(915) 955-2238 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2025, Jun 18, 2025, Jan 15, 2019 (3 updates tracked since 2019).

About Princess Kukua Ahedor NPPES

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

PRINCESS KUKUA AHEDOR (NPI 1215401906) is an individual psychiatric/mental health provider in El Paso, Texas, licensed in Texas (AP139886) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Cruces, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215401906
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePRINCESS KUKUA AHEDOR
Location Address2100 GEORGE DIETER DREl Paso, TX 79936-3815
Mailing Address4500 Carter Creek Pkwy Ste 101bBryan, TX 77802-4464 · (915) 532-0010 · Fax (979) 316-1851
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 15, 2019
Last NPPES UpdateFebruary 9, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
NPI 1215401906 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 TX · AP139886
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP139886 (TX)
2100 GEORGE DIETER DR, El Paso, TX 79936

Secondary Practice Location 1

Location 1920 N Telshor Blvd Ste ELas Cruces, NM 88011-8279 · Phone (915) 955-2238 · Fax (982) 268-0069

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Princess Kukua Ahedor is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103165980
PECOS Enrollment IDI20190222002456, I20260227000117
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 79936 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 2

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

Assistant Behavior Analyst
2100 GEORGE DIETER DR
EL PASO, TX 79936
Nurse Practitioner (Psychiatric/Mental Health)
2100 GEORGE DIETER DR
EL PASO, TX 79936

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 Princess Ahedor's NPI number?

The NPI number for Princess Ahedor is 1215401906. It was assigned to this individual provider in the NPPES registry on January 15, 2019.

Where is Princess Ahedor located?

Princess Ahedor practices at 2100 George Dieter Dr, El Paso, TX 79936. The listed phone number is (915) 955-2238.

What is Princess Ahedor's specialty?

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

Is Princess Ahedor enrolled in Medicare?

Yes. Princess Ahedor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Princess Ahedor accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Providence Health Plan, UnitedHealthcare and WellPoint list Princess Ahedor 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 Princess Ahedor was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.