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ULTIMATE PROFESSIONAL SERVICES
NPI 1861149296
Nurse Practitioner - Psychiatric/Mental Health in Salem, OR

Active since March 05, 2022
216 COMMERCIAL ST NE, SALEM, OR 97301(614) 804-0866(253) 954-3116 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2024, Mar 5, 2022 (2 updates tracked since 2022).

About Ultimate Professional Services NPPES

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

ULTIMATE PROFESSIONAL SERVICES (NPI 1861149296) is a healthcare organization registered as a psychiatric/mental health in Salem, Oregon and active in the NPI registry since March 2022. The organization lists Annabel Owusu, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1861149296
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameULTIMATE PROFESSIONAL SERVICES
Location Address216 COMMERCIAL ST NESalem, OR 97301-3410
Mailing Address22498 E Twin Acres DrQueen Creek, AZ 85142-0609 · (614) 804-0866
Phone(614) 804-0866
Fax(253) 954-3116
Organization SubpartNo
Authorized OfficialAnnabel OwusuPmhnp · (614) 804-0866
Enumeration DateMarch 5, 2022
Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1861149296 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
216 COMMERCIAL ST NE, Salem, OR 97301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ultimate Professional Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ultimate Professional Services, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Gostine Dankwa, PMHNP-BC
Nurse Practitioner
NPI 1336683440
633 E RAY RD STE 130
Gilbert, AZ 85296
(832) 819-4378
✔ PECOS✔ Accepts Medicare1,002 mi
Annabel Owusu
Nurse Practitioner
NPI 1588975452
14574 SUNLAND GIN RD
Arizona City, AZ 85123
(520) 387-5651
✔ PECOS✔ Accepts Medicare1,039 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ultimate Professional Services's NPI number?

The NPI number for Ultimate Professional Services is 1861149296. It was assigned to this organization in the NPPES registry on March 5, 2022.

Where is Ultimate Professional Services located?

Ultimate Professional Services is located at 216 Commercial St NE, Salem, OR 97301. The listed phone number is (614) 804-0866.

What is Ultimate Professional Services's specialty?

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

Is Ultimate Professional Services enrolled in Medicare?

Yes. Ultimate Professional Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ultimate Professional Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Ultimate Professional Services. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ultimate Professional Services accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Ultimate Professional Services 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 Ultimate Professional Services was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.