MBI GWENDOLINE BESONG APRN-RNP
NPI 1417745597
Nurse Practitioner - Psychiatric/Mental Health in Glendale, AZ

Q: What is Mbi Besong's NPI number?

The NPI number for Mbi Besong is 1417745597. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Q: What is Mbi Besong's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mbi Besong was last updated on April 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 28, 2025PECOS Enrolled

6015 W PEORIA AVE, GLENDALE, AZ 85302(623) 344-4400 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mbi Gwendoline Besong Aprn-rnp NPPES

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

MBI GWENDOLINE BESONG APRN-RNP (NPI 1417745597) is an individual psychiatric/mental health provider in Glendale, Arizona, licensed in Arizona (235114) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tolleson, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417745597

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMBI GWENDOLINE BESONGCredential: APRN-RNP

Location Address6015 W PEORIA AVEGlendale, AZ 85302-1213

Mailing Address10108 W Raymond StTolleson, AZ 85353-4115 · (623) 329-2578

Phone(623) 344-4400

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateApril 28, 2025

NPPES CertifiedApril 28, 2025

✔ NPI 1417745597 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 · 235114

6015 W PEORIA AVE, Glendale, AZ 85302

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Secondary Practice Location 1

Location 110108 W Raymond StTolleson, AZ 85353-4115 · Phone (623) 329-2578

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mbi Gwendoline Besong Aprn-rnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759888910

PECOS Enrollment IDI20251007000412

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 85302 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 19

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

GWEN A LEVITT DO

Psychiatry & Neurology (Psychiatry)