CHRISTIANA UPE OMODUGBA-UDEH PMHNP-BC
NPI 1396456174
Nurse Practitioner - Psychiatric/Mental Health in Kennewick, WA
About Christiana Upe Omodugba-udeh Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTIANA UPE OMODUGBA-UDEH PMHNP-BC (NPI 1396456174) is an individual psychiatric/mental health provider in Kennewick, Washington, licensed in Washington (AP61408400) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Christiana Upe Omodugba-udeh Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Christiana Omodugba-udeh reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gardena, CA 90248
- Reassigned Medicare billing, Colorado and Texas enrollments
- 9 clinicians in this Medicare group
Fort Worth, TX 76107
- Reassigned Medicare billing, Texas enrollment
- 20 clinicians in this Medicare group
Dallas, TX 75240
- Reassigned Medicare billing, Colorado, Texas and Virginia enrollments
Durham, NC 27701
- Reassigned Medicare billing, Texas enrollment
- 315 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 99336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KENNEWICK, WA 99336
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 Christiana Omodugba-udeh's NPI number?
The NPI number for Christiana Omodugba-udeh is 1396456174. It was assigned to this individual provider in the NPPES registry on December 12, 2022.
Where is Christiana Omodugba-udeh located?
Christiana Omodugba-udeh practices at 216 W 10th Ave, Kennewick, WA 99336. The listed phone number is (509) 870-9150.
What is Christiana Omodugba-udeh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Christiana Omodugba-udeh enrolled in Medicare?
Yes. Christiana Omodugba-udeh is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Christiana Omodugba-udeh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Christiana Omodugba-udeh reassigns Medicare benefits to 4 organizations: Ehab Yacoub MD Inc. (Gardena, CA), Ehab Yacoub MD PLLC (Fort Worth, TX), Upnext Psychiatric Associates PLLC (Dallas, TX) and Mental Health Specialty Group PA (Durham, NC). 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 Christiana Omodugba-udeh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Christiana Omodugba-udeh 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 9 other insurers list Christiana Omodugba-udeh 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 Christiana Omodugba-udeh was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Christiana Upe Omodugba-Udeh, PMHNP-BC · NPI 1396456174
Psychiatric/Mental Health physician in Kennewick, Washington. Individual provider, active in the CMS NPPES registry since December 12, 2022.
## Identity
- **NPI:** 1396456174 (Entity type: Individual)
- **Enumerated:** December 12, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** AP61408400 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 216 W 10TH AVE, Kennewick, WA 99336-6300
- **Phone:** (509) 870-9150
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Ehab Yacoub MD Inc. (NPI 1417373713, Gardena, CA); Ehab Yacoub MD PLLC (NPI 1700685997, Fort Worth, TX); Upnext Psychiatric Associates PLLC (NPI 1891567269, Dallas, TX); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396456174) · Data from the CMS NPPES public registry.