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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since January 15, 2019PECOS Enrolled
416 N STANTON ST STE 600D, EL PASO, TX 79901(915) 317-1054(982) 268-0069 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 15, 2026, Dec 9, 2025, Jun 18, 2025 and 1 more (4 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 Address416 N STANTON ST STE 600DEl Paso, TX 79901-1245
Mailing Address2712 Tierra Murcia StEl Paso, TX 79938-2220 · (915) 317-1054 · Fax (982) 268-0069
Phone(915) 317-1054
Fax(982) 268-0069
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 15, 2019
Last NPPES UpdateSeptember 15, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 15, 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)
416 N STANTON ST STE 600D, El Paso, TX 79901
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Providence Health Plan and more.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 79901 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

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

SOUL SPRING PSYCHIATRY PLLC
Nurse Practitioner (Psychiatric/Mental Health)
416 N STANTON ST STE 600D
EL PASO, TX 79901
El Paso County (915) 317-1054

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 416 N Stanton St Ste 600D, El Paso, TX 79901. The listed phone number is (915) 317-1054.

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 September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.