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KINGSLEY EBORU
NPI 1336916105
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since December 11, 2023PECOS EnrolledAccepts Medicare Assignment
5501 N 19TH AVE, PHOENIX, AZ 85015(602) 755-8343(602) 755-8362 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2026, Dec 11, 2023 (2 updates tracked since 2023).

About Kingsley Eboru NPPES

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

KINGSLEY EBORU (NPI 1336916105) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (301080) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1336916105
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKINGSLEY EBORU
Location Address5501 N 19TH AVEPhoenix, AZ 85015-2450
Mailing Address5501 N 19th Ave Ste 425Phoenix, AZ 85015-2481
Phone(602) 755-8343
Fax(602) 755-8362
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 11, 2023
Last NPPES UpdateJune 3, 20262 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1336916105 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 · 301080
5501 N 19TH AVE, Phoenix, AZ 85015
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, 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 and accepts Medicare assignment

Kingsley Eboru 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 ID6901257245
PECOS Enrollment IDI20240110004529
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

6

Medicare enrollment records show Kingsley Eboru reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Horizon Psychiatry LLC
Same address
Multi-Specialty
5501 N 19TH AVE
Phoenix, AZ 85015
  • Reassigned Medicare billing, Arizona enrollment
NPI 1932051513 (602) 405-5067
Great Tower Recovery, LLC
Same address
Multi-Specialty
5501 N 19TH AVE STE 331
Phoenix, AZ 85015
  • Reassigned Medicare billing, Arizona enrollment
  • 5 clinicians in this Medicare group
NPI 1831801232 (480) 262-4547
Ikaze Behavioral Center LLC
3.9 mi
Adolescent and Children Mental Health
350 E DUNLAP AVE
Phoenix, AZ 85020
  • Reassigned Medicare billing, Arizona enrollment
NPI 1588447486 (650) 420-9888
Recovery Innovations, Inc
4.0 mi
Case Manager/Care Coordinator
2701 N 16TH STREET, SUITE 122
Phoenix, AZ 85006
  • Reassigned Medicare billing, Arizona enrollment
  • 36 clinicians in this Medicare group
NPI 1174611776 (602) 650-1212
Icare Health Services LLC
4.5 mi
Mental Health (Including Community Mental Health Center)
5222 W GLENDALE AVE
Glendale, AZ 85301
  • Reassigned Medicare billing, Arizona enrollment
  • 5 clinicians in this Medicare group
NPI 1740026947 (623) 303-3813
Aligned Medical Providers, LLC
14 mi
Family Medicine
9821 N 95TH ST
Scottsdale, AZ 85258
  • Reassigned Medicare billing, Arizona enrollment
  • 13 clinicians in this Medicare group
NPI 1386267078 (480) 365-8035

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.
50 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85015 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 18

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

DOUGLAS WAYNE KELLY M.D.
Orthopaedic Surgery (Sports Medicine)
5501 N 19TH AVE, 432
PHOENIX, AZ 85015
Maricopa County (602) 242-7691
CARE GIVERS OF ARIZONA, INC.
Registered Nurse (Home Health)
5501 N 19TH AVE
PHOENIX, AZ 85015
Maricopa County (602) 277-4142
SALUBRIOUS HEALTH CARE PC
Family Medicine
5501 N 19TH AVE, 218
PHOENIX, AZ 85015
Maricopa County (602) 242-1221
LORENZO SUMMERS II
Behavior Technician
5501 N 19TH AVE
PHOENIX, AZ 85015
Maricopa County (480) 219-5769
DOUGLAS W KELLY MD PC
Orthopaedic Surgery
5501 N 19TH AVE, SUITE 432
PHOENIX, AZ 85015
Maricopa County (602) 242-7691
APEX INTEGRATED CARE PLLC
Family Medicine
5501 N 19TH AVE, STE 103
PHOENIX, AZ 85015
Maricopa County (602) 589-0500
VICTOR TSENG, MD, PC
Orthopaedic Surgery (Hand Surgery)
5501 N 19TH AVE, STE 331
PHOENIX, AZ 85015
Maricopa County (602) 242-7796
DESERT ORTHOPAEDICS & REHABILITATION, PC
Orthopaedic Surgery
5501 N 19TH AVE, STE 331
PHOENIX, AZ 85015
Maricopa County (602) 242-7796

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 Kingsley Eboru's NPI number?

The NPI number for Kingsley Eboru is 1336916105. It was assigned to this individual provider in the NPPES registry on December 11, 2023.

Where is Kingsley Eboru located?

Kingsley Eboru practices at 5501 N 19th Ave, Phoenix, AZ 85015. The listed phone number is (602) 755-8343.

What is Kingsley Eboru's specialty?

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

Is Kingsley Eboru enrolled in Medicare?

Yes. Kingsley Eboru 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 Kingsley Eboru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kingsley Eboru reassigns Medicare benefits to 6 organizations: Horizon Psychiatry LLC (Phoenix, AZ), Great Tower Recovery, LLC (Phoenix, AZ), Ikaze Behavioral Center LLC (Phoenix, AZ), Recovery Innovations, Inc (Phoenix, AZ), Icare Health Services LLC (Glendale, AZ) and 1 more organization, listed in the Medicare section above. 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 Kingsley Eboru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kingsley Eboru accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. and UnitedHealthcare list Kingsley Eboru 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 Kingsley Eboru was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.