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 EnrolledAccepts Medicare Assignment
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: November 01, 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
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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Princess Ahedor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
416 N STANTON ST STE 600D
El Paso, TX 79901
  • Reassigned Medicare billing, New Mexico and Texas enrollments
Nurse Practitioner
4400 BUFFALO GAP RD FL 1
Abilene, TX 79606
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Regional Physician Services Of Texas PA
  • 396 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 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.

Nurse Practitioner (Psychiatric/Mental Health)
416 N STANTON ST STE 600D
EL PASO, TX 79901

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.

Which organizations bill Medicare for Princess Ahedor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Princess Ahedor reassigns Medicare benefits to 2 organizations: Soul Spring Psychiatry PLLC (El Paso, TX) and Regional Physician Services Of Texas, P.A. (Abilene, TX). 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 Princess Ahedor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Princess Ahedor accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers 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 50 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.