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JAMES OHARA
NPI 1427675222
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since June 29, 2020PECOS Enrolled
11221 N 28TH DR BLDG N28TH, PHOENIX, AZ 85029(602) 997-2233 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2024, Aug 13, 2021, Jun 29, 2020 (3 updates tracked since 2020).

About James Ohara NPPES

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

JAMES OHARA (NPI 1427675222) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (261420) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1427675222
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJAMES OHARA
Location Address11221 N 28TH DR BLDG N28THPhoenix, AZ 85029-5615
Mailing Address11221 N 28th Dr Bldg EPhoenix, AZ 85029-5615 · (602) 997-2233
Phone(602) 997-2233
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 29, 2020
Last NPPES UpdateOctober 17, 20243 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
✔ NPI 1427675222 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 · 261420
11221 N 28TH DR BLDG N28TH, Phoenix, AZ 85029
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona 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 (PECOS)

James Ohara is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739584160
PECOS Enrollment IDI20210824002059
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 James Ohara reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southwest Behavioral Health Services, Inc.
Same address
Specialist
11221 N 28TH DR BLDG E
Phoenix, AZ 85029
  • Reassigned Medicare billing, Arizona enrollment
  • 137 clinicians in this Medicare group
NPI 1922517655 (602) 285-4318
Serenity Tms Centers LLC
472 mi
Psychiatry
3300 N TRIUMPH BLVD STE 500
Lehi, UT 84043
  • Reassigned Medicare billing, Arizona enrollment
  • 66 clinicians in this Medicare group
NPI 1710492095 (801) 821-2781

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 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.

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 James Ohara's NPI number?

The NPI number for James Ohara is 1427675222. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Where is James Ohara located?

James Ohara practices at 11221 N 28th Dr Bldg N28th, Phoenix, AZ 85029. The listed phone number is (602) 997-2233.

What is James Ohara's specialty?

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

Is James Ohara enrolled in Medicare?

Yes. James Ohara is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Ohara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Ohara reassigns Medicare benefits to 2 organizations: Southwest Behavioral Health Services, Inc. (Phoenix, AZ) and Serenity Tms Centers LLC (Lehi, UT). 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 James Ohara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Ohara accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list James Ohara 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 James Ohara was last updated on October 17, 2024. 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.