IDORENYIN PHILIP NP
NPI 1639886583
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since October 31, 2022PECOS EnrolledAccepts Medicare Assignment
1407 S 9TH AVE, PHOENIX, AZ 85007(602) 975-6155 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Idorenyin Philip Np NPPES

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

IDORENYIN PHILIP NP (NPI 1639886583) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (282721) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639886583
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameIDORENYIN PHILIPCredential: NP
Location Address1407 S 9TH AVEPhoenix, AZ 85007-3904
Mailing Address9015 W Union Hills Dr Ste 107, #344Peoria, AZ 85382 · (480) 256-2669
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 31, 2022
NPPES CertifiedOctober 31, 2022
NPI 1639886583 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 · 282721
1407 S 9TH AVE, Phoenix, AZ 85007

Accepted 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

Idorenyin Philip Np 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 ID6800268236
PECOS Enrollment IDI20230329000831
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85007 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

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

Psychiatric Hospital
1407 S 9TH AVE
PHOENIX, AZ 85007

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 Idorenyin Philip's NPI number?

The NPI number for Idorenyin Philip is 1639886583. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Where is Idorenyin Philip located?

Idorenyin Philip practices at 1407 S 9th Ave, Phoenix, AZ 85007. The listed phone number is (602) 975-6155.

What is Idorenyin Philip's specialty?

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

Is Idorenyin Philip enrolled in Medicare?

Yes. Idorenyin Philip 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.

What insurance does Idorenyin Philip accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Idorenyin Philip 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 Idorenyin Philip was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.