1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Nurse Practitioner
  6. NPI Profile

URSULA N ODIMARA DNP, PMHNP-BC
NPI 1629490222
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Active since January 16, 2014PECOS EnrolledAccepts Medicare Assignment
11082 KNIGHTS RD, PHILADELPHIA, PA 19154(215) 632-9040(215) 632-0610 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ursula N Odimara Dnp, Pmhnp-bc NPPES

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

URSULA N ODIMARA DNP, PMHNP-BC (NPI 1629490222) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP013474) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1629490222
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameURSULA N ODIMARACredential: DNP, PMHNP-BC
Location Address11082 KNIGHTS RDPhiladelphia, PA 19154-3511
Mailing Address11082 Knights RdPhiladelphia, PA 19154-3511 · (215) 632-9040 · Fax (215) 632-0610
Phone(215) 632-9040
Fax(215) 632-0610
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 16, 2014
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1629490222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in PA · SP013474✔ Licensed in NJ · 26NJ00498400
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License SP013474 (PA)
11082 KNIGHTS RD, Philadelphia, PA 19154
Open in Google Maps ↗

Other Names 1

Former Name (1)Ursula N Akujobi Crnp

Secondary Practice Locations 2

Location 12595 Interstate Dr Ste 103Harrisburg, PA 17110-9378 · Phone (800) 370-3651
Location 2100 Horizon Center BlvdHamilton, NJ 08691-1910 · Phone (215) 771-3834

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

Ursula N Odimara Dnp, Pmhnp-bc 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 ID1153553078
PECOS Enrollment IDI20150519001012
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

4

Medicare enrollment records show Ursula Odimara reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legacy Treatment Services Inc
11 mi
Community/Behavioral Health
1289 ROUTE 38, SUITE #203
Hainesport, NJ 08036
  • Reassigned Medicare billing, New Jersey enrollment
  • 20 clinicians in this Medicare group
NPI 1730594656 (609) 288-3067
Healthy Mind LLC
19 mi
Psychiatric/Mental Health
100 HORIZON CENTER BLVD STE 100
Hamilton, NJ 08691
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1437800893 (267) 563-8396
Grow Healthcare Group Of New Jersey PC
67 mi
Mental Health
221 RIVER ST. FL 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 673 clinicians in this Medicare group
NPI 1841949328 (201) 439-8902
Grow Healthcare Group PA
1,031 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 833 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 19154 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 8

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

MERAKEY PHILADELPHIA
Community/Behavioral Health
11082 KNIGHTS RD
PHILADELPHIA, PA 19154
Philadelphia County (215) 836-3131
MERAKEY PARKSIDE RECOVERY
Community/Behavioral Health
11082 KNIGHTS RD
PHILADELPHIA, PA 19154
Philadelphia County (215) 836-3131
MERAKEY PHILADELPHIA
Psychoanalyst
11082 KNIGHTS RD
PHILADELPHIA, PA 19154
Philadelphia County (215) 836-3131
ANDREW LOPEZ M.D.
Psychiatry & Neurology (Psychiatry)
11082 KNIGHTS RD
PHILADELPHIA, PA 19154
Philadelphia County (215) 632-9040
MARIA T MULIERI LCSW
Social Worker (Clinical)
11082 KNIGHTS RD
PHILADELPHIA, PA 19154
Philadelphia County (215) 632-9040
EMMA DIMARCANTONIO
Social Worker
11082 KNIGHTS RD
PHILADELPHIA, PA 19154
Philadelphia County (267) 428-7389
KAREN LOUISE KELLEY
Social Worker (Clinical)
11082 KNIGHTS RD
PHILADELPHIA, PA 19154
Philadelphia County (215) 632-9040
MERAKEY PHILADELPHIA
Community/Behavioral Health
11082 KNIGHTS RD
PHILADELPHIA, PA 19154
Philadelphia County (215) 836-3131

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 Ursula Odimara's NPI number?

The NPI number for Ursula Odimara is 1629490222. It was assigned to this individual provider in the NPPES registry on January 16, 2014. The provider is also known as Ursula N Akujobi Crnp.

Where is Ursula Odimara located?

Ursula Odimara practices at 11082 Knights Rd, Philadelphia, PA 19154. The listed phone number is (215) 632-9040.

What is Ursula Odimara's specialty?

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

Is Ursula Odimara enrolled in Medicare?

Yes. Ursula Odimara 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 Ursula Odimara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ursula Odimara reassigns Medicare benefits to 4 organizations: Legacy Treatment Services Inc (Hainesport, NJ), Healthy Mind LLC (Hamilton, NJ), Grow Healthcare Group Of New Jersey PC (Hoboken, NJ) and Grow Healthcare Group PA (Miami, FL). 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 Ursula Odimara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ursula Odimara was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.