FIDELIS EKATA AZEKE PMH-NP
NPI 1861077034
Nurse Practitioner - Psychiatric/Mental Health in Sacramento, CA

Active since March 10, 2021PECOS Enrolled
401 S ST, SACRAMENTO, CA 95811(916) 344-0249(916) 914-2462 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 12, 2025, Mar 10, 2021 (2 updates tracked since 2021).

About Fidelis Ekata Azeke Pmh-np NPPES

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

FIDELIS EKATA AZEKE PMH-NP (NPI 1861077034) is an individual psychiatric/mental health provider in Sacramento, California, licensed in California (95016272) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861077034
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameFIDELIS EKATA AZEKECredential: PMH-NP
Location Address401 S STSacramento, CA 95811-6919
Mailing AddressPo Box 2616Elk Grove, CA 95759-2616 · (916) 895-6095
Fax(916) 914-2462
Sole ProprietorNo
Enumeration DateMarch 10, 2021
Last NPPES UpdateMarch 12, 20252 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1861077034 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
License✔ Licensed in CA · 95016272
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95016272 (CA)
401 S ST, Sacramento, CA 95811

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fidelis Ekata Azeke Pmh-np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Fidelis Azeke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
717 K ST STE 529
Sacramento, CA 95814
  • Reassigned Medicare billing, California enrollment
Psychiatry
360 POST ST STE 500
San Francisco, CA 94108
  • Reassigned Medicare billing, California enrollment
  • 118 clinicians in this Medicare group
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 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 95811 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 20

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

Community Health Worker
401 S ST
SACRAMENTO, CA 95811
Community Health Worker
401 S ST
SACRAMENTO, CA 95811
Counselor
401 S ST
SACRAMENTO, CA 95811
Social Worker
401 S ST
SACRAMENTO, CA 95811
Adult Companion
401 S ST
SACRAMENTO, CA 95811
Adult Companion
401 S ST
SACRAMENTO, CA 95811
Day Training/Habilitation Specialist
401 S ST
SACRAMENTO, CA 95811
Student in an Organized Health Care Education/Training Program
401 S ST
SACRAMENTO, CA 95811

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 Fidelis Azeke's NPI number?

The NPI number for Fidelis Azeke is 1861077034. It was assigned to this individual provider in the NPPES registry on March 10, 2021.

Where is Fidelis Azeke located?

Fidelis Azeke practices at 401 S St, Sacramento, CA 95811. The listed phone number is (916) 344-0249.

What is Fidelis Azeke's specialty?

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

Is Fidelis Azeke enrolled in Medicare?

Yes. Fidelis Azeke is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Fidelis Azeke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fidelis Azeke reassigns Medicare benefits to 3 organizations: Affirm Psychiatric Nursing Inc (Sacramento, CA), Mindful Health Solutions A Professional Medical Corporation (San Francisco, CA) and Grow Healthcare Group PC (San Jose, CA). 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 Fidelis Azeke'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 Fidelis Azeke was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.