MILDRED K OMOONGEH NP
NPI 1760945752
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ
About Mildred K Omoongeh Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MILDRED K OMOONGEH NP (NPI 1760945752) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (231224) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
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
Mildred K Omoongeh 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mildred Omoongeh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenix, AZ 85021
- Reassigned Medicare billing, Arizona enrollment
- Medicare enrollment name: Psa Behavioral Health Agency
- 13 clinicians in this Medicare group
Tempe, AZ 85282
- Reassigned Medicare billing, Arizona enrollment
- 41 clinicians in this Medicare group
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 85015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mildred Omoongeh's NPI number?
The NPI number for Mildred Omoongeh is 1760945752. It was assigned to this individual provider in the NPPES registry on April 8, 2019.
Where is Mildred Omoongeh located?
Mildred Omoongeh practices at 1835 W Missouri Ave, Phoenix, AZ 85015. The listed phone number is (602) 230-0777.
What is Mildred Omoongeh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mildred Omoongeh enrolled in Medicare?
Yes. Mildred Omoongeh 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 Mildred Omoongeh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mildred Omoongeh reassigns Medicare benefits to 2 organizations: Resilient Health, Inc. (Phoenix, AZ) and Pophealthcare Medical Services Of Az, PC (Tempe, AZ). 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 Mildred Omoongeh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mildred Omoongeh accept?
Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Mildred Omoongeh 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 Mildred Omoongeh was last updated on August 12, 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.
# Mildred K Omoongeh, NP · NPI 1760945752
Psychiatric/Mental Health physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since April 8, 2019.
## Identity
- **NPI:** 1760945752 (Entity type: Individual)
- **Enumerated:** April 8, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 231224 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1835 W MISSOURI AVE, Phoenix, AZ 85015-3046
- **Phone:** (602) 230-0777
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Resilient Health, Inc. (NPI 1881680452, Phoenix, AZ); Pophealthcare Medical Services Of Az, PC (NPI 1417652454, Tempe, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1760945752) · Data from the CMS NPPES public registry.