1. Home
  2. Directory
  3. California
  4. Modesto
  5. Nurse Practitioner
  6. NPI Profile

DAVIDSON OKECHUKWU ETOAMAIHE NP
NPI 1861258105
Nurse Practitioner - Psychiatric/Mental Health in Modesto, CA

Active since February 26, 2024PECOS Enrolled
2344 ST PAULS WAY, MODESTO, CA 95355(832) 904-2349 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Davidson Okechukwu Etoamaihe Np NPPES

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

DAVIDSON OKECHUKWU ETOAMAIHE NP (NPI 1861258105) is an individual psychiatric/mental health provider in Modesto, California, licensed in California (95028981) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861258105
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDAVIDSON OKECHUKWU ETOAMAIHECredential: NP
Location Address2344 ST PAULS WAYModesto, CA 95355-3390
Mailing Address2344 St Pauls WayModesto, CA 95355-3390 · (832) 904-2349
Phone(832) 904-2349
Sole ProprietorNo
Enumeration DateFebruary 26, 2024
NPPES CertifiedJanuary 17, 2024
✔ NPI 1861258105 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 CA · 95028981
2344 ST PAULS WAY, Modesto, CA 95355
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Davidson Okechukwu Etoamaihe 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

4

Medicare enrollment records show Davidson Etoamaihe reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kern Psychiatric Health And Wellness Center Inc
189 mi
Psychiatry
8329 BRIMHALL RD STE 804
Bakersfield, CA 93312
  • Reassigned Medicare billing, California enrollment
  • 23 clinicians in this Medicare group
NPI 1962917021 (661) 431-1555
Geri Connection
390 mi
Family Medicine
15644 POMERADO RD STE 202
Poway, CA 92064
  • Reassigned Medicare billing, California enrollment
  • 71 clinicians in this Medicare group
NPI 1447976907 (855) 839-8878
Myndfull Care California PC
393 mi
Internal Medicine
8445 CAMINO SANTA FE STE 215
San Diego, CA 92121
  • Reassigned Medicare billing, California enrollment
  • 60 clinicians in this Medicare group
NPI 1912699703 (855) 839-8878
Myndfull Care Management California PC
393 mi
Clinic/Center
8445 CAMINO SANTA FE STE 215
San Diego, CA 92121
  • Reassigned Medicare billing, California enrollment
  • 72 clinicians in this Medicare group
NPI 1770206435 (855) 839-8878

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 95355 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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 Davidson Etoamaihe's NPI number?

The NPI number for Davidson Etoamaihe is 1861258105. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Where is Davidson Etoamaihe located?

Davidson Etoamaihe practices at 2344 St Pauls Way, Modesto, CA 95355. The listed phone number is (832) 904-2349.

What is Davidson Etoamaihe's specialty?

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

Is Davidson Etoamaihe enrolled in Medicare?

Yes. Davidson Etoamaihe is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Davidson Etoamaihe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Davidson Etoamaihe reassigns Medicare benefits to 4 organizations: Kern Psychiatric Health And Wellness Center Inc (Bakersfield, CA), Geri Connection (Poway, CA), Myndfull Care California PC (San Diego, CA) and Myndfull Care Management California PC (San Diego, 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 Davidson Etoamaihe'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 Davidson Etoamaihe was last updated on February 26, 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.