IMMA NZOMO PMHNP
NPI 1629559976
Nurse Practitioner - Psychiatric/Mental Health in Mesa, AZ

Q: What is Imma Nzomo's NPI number?

The NPI number for Imma Nzomo is 1629559976. It was assigned to this individual provider in the NPPES registry on August 24, 2018.

Q: What is Imma Nzomo'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 Imma Nzomo was last updated on August 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 24, 2018PECOS EnrolledAccepts Medicare Assignment

1855 W BASELINE RD STE 101, MESA, AZ 85202(480) 831-7566 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Imma Nzomo Pmhnp NPPES

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

IMMA NZOMO PMHNP (NPI 1629559976) is an individual psychiatric/mental health provider in Mesa, Arizona, licensed in Arizona (AP11526) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1629559976

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameIMMA NZOMOCredential: PMHNP

Location Address1855 W BASELINE RD STE 101Mesa, AZ 85202-9098

Mailing Address3546 E Windmere DrPhoenix, AZ 85048-7211 · (520) 304-7188

Phone(480) 831-7566

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 24, 2018

✔ NPI 1629559976 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 · AP11526

1855 W BASELINE RD STE 101, Mesa, AZ 85202

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Imma Nzomo Pmhnp 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 ID4082950449

PECOS Enrollment IDI20190107002718

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 85202 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.

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Other Providers at the Same Location NPPES 9

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

MR. ADNAN CELJO M.D.

Psychiatry & Neurology (Psychiatry)