EBENEZER BODUDE RN
NPI 1275900060
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since August 27, 2015PECOS EnrolledAccepts Medicare Assignment
11225 N 28TH DR, PHOENIX, AZ 85029(602) 699-6999 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2023, Aug 26, 2023, Nov 9, 2015 (3 updates tracked since 2015).

About Ebenezer Bodude Rn NPPES

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

EBENEZER BODUDE RN (NPI 1275900060) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (298440) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1275900060
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameEBENEZER BODUDECredential: RN
Location Address11225 N 28TH DRPhoenix, AZ 85029-5606
Mailing Address7067 W Jackrabbit LnPeoria, AZ 85383-6018
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 27, 2015
Last NPPES UpdateOctober 25, 20233 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
NPI 1275900060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in AZ · 298440
11225 N 28TH DR, Phoenix, AZ 85029

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

Ebenezer Bodude Rn 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 ID1456651090
PECOS Enrollment IDI20231228000304
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85029 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.

Other Providers at the Same Location NPPES 15

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

In Home Supportive Care
11225 N 28TH DR, SUITE #D220A
PHOENIX, AZ 85029
Home Health
11225 N 28TH DR
PHOENIX, AZ 85029
Counselor (Professional)
11225 N 28TH DR
PHOENIX, AZ 85029
Counselor (Mental Health)
11225 N 28TH DR, SUITE D215
PHOENIX, AZ 85029
Counselor (Mental Health)
11225 N 28TH DR
PHOENIX, AZ 85029
Chiropractor
11225 N 28TH DR, A-101
PHOENIX, AZ 85029
Social Worker
11225 N 28TH DR
PHOENIX, AZ 85029
Community/Behavioral Health
11225 N 28TH DR, SUITE #D-110
PHOENIX, AZ 85029

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 Ebenezer Bodude's NPI number?

The NPI number for Ebenezer Bodude is 1275900060. It was assigned to this individual provider in the NPPES registry on August 27, 2015.

Where is Ebenezer Bodude located?

Ebenezer Bodude practices at 11225 N 28th Dr, Phoenix, AZ 85029. The listed phone number is (602) 699-6999.

What is Ebenezer Bodude's specialty?

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

Is Ebenezer Bodude enrolled in Medicare?

Yes. Ebenezer Bodude 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 Ebenezer Bodude accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Ebenezer Bodude 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 Ebenezer Bodude was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.