MILDRED K OMOONGEH NP
NPI 1760945752
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since April 08, 2019PECOS EnrolledAccepts Medicare Assignment
1835 W MISSOURI AVE, PHOENIX, AZ 85015(602) 230-0777 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2024, May 17, 2021, Jan 6, 2020 and 2 more (5 updates tracked since 2019).

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

NPI1760945752
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMILDRED K OMOONGEHCredential: NP
Location Address1835 W MISSOURI AVEPhoenix, AZ 85015-3046
Mailing Address2420 W Beverly RdPhoenix, AZ 85041-7625 · (405) 219-5425
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 8, 2019
Last NPPES UpdateAugust 12, 20245 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
NPI 1760945752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in AZ · 231224
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 855808 (TX)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 231224 (AZ)
1835 W MISSOURI AVE, Phoenix, AZ 85015

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

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.

PECOS PAC ID8426485269
PECOS Enrollment IDI20200217004459
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 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.

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 7

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

Family Medicine
1835 W MISSOURI AVE
PHOENIX, AZ 85015
Family Medicine
1835 W MISSOURI AVE
PHOENIX, AZ 85015
Nurse Practitioner (Family)
1835 W MISSOURI AVE
PHOENIX, AZ 85015
Nurse Practitioner (Family)
1835 W MISSOURI AVE
PHOENIX, AZ 85015
Family Medicine
1835 W MISSOURI AVE
PHOENIX, AZ 85015
Physician Assistant (Medical)
1835 W MISSOURI AVE
PHOENIX, AZ 85015
Nurse Practitioner (Family)
1835 W MISSOURI AVE
PHOENIX, AZ 85015

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.

What insurance does Mildred Omoongeh accept?

Health plans from 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.