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KERUBO HAPPINESS NYACHIEO PMHNP
NPI 1891657516
Nurse Practitioner - Psychiatric/Mental Health in Glendale, AZ

Active since December 01, 2025PECOS Enrolled
4015 W SALTER DR, GLENDALE, AZ 85308(410) 660-5117 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 10, 2026, Jan 2, 2026, Dec 1, 2025 (3 updates tracked since 2025).

About Kerubo Happiness Nyachieo Pmhnp NPPES

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

KERUBO HAPPINESS NYACHIEO PMHNP (NPI 1891657516) is an individual psychiatric/mental health provider in Glendale, Arizona, licensed in Arizona (266475) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1891657516
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKERUBO HAPPINESS NYACHIEOCredential: PMHNP
Location Address4015 W SALTER DRGlendale, AZ 85308-2078
Mailing Address4015 W Salter DrGlendale, AZ 85308-2078 · (410) 660-5117
Phone(410) 660-5117
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 1, 2025
Last NPPES UpdateAugust 10, 20263 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1891657516 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
Licenses✔ Licensed in AZ · 266475✔ Licensed in TX · 1226902✔ Licensed in CA · 95040638✔ Licensed in WA · AP.70134409✔ Licensed in OR · 10057912✔ Licensed in MD · AC009208
4015 W SALTER DR, Glendale, AZ 85308
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Cigna HealthCare of Arizona, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerubo Happiness Nyachieo Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709343486
PECOS Enrollment IDI20260812004659
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

2

Medicare enrollment records show Kerubo Nyachieo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shamlock Nursing Services LLC
Same address
Psychiatric/Mental Health
4015 W SALTER DR
Glendale, AZ 85308
  • Reassigned Medicare billing, Texas enrollment
NPI 1205798923 (410) 660-5117
Vibrant Mental Wellness LLC
628 mi
Psychiatric/Mental Health
4213 THEO ST
Big Spring, TX 79720
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1225813769 (763) 568-6378

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 85308 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 2

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

SHAMLOCK NURSING SERVICES LLC
Nurse Practitioner (Psychiatric/Mental Health)
4015 W SALTER DR
GLENDALE, AZ 85308
Maricopa County (410) 660-5117
BEKA'S COMFORT HOME
Community Based Residential Treatment Facility, Mental Illness
4015 W SALTER DR
GLENDALE, AZ 85308
Maricopa County (623) 242-7752

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 Kerubo Nyachieo's NPI number?

The NPI number for Kerubo Nyachieo is 1891657516. It was assigned to this individual provider in the NPPES registry on December 1, 2025.

Where is Kerubo Nyachieo located?

Kerubo Nyachieo practices at 4015 W Salter Dr, Glendale, AZ 85308. The listed phone number is (410) 660-5117.

What is Kerubo Nyachieo's specialty?

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

Is Kerubo Nyachieo enrolled in Medicare?

Yes. Kerubo Nyachieo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kerubo Nyachieo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerubo Nyachieo reassigns Medicare benefits to 2 organizations: Shamlock Nursing Services LLC (Glendale, AZ) and Vibrant Mental Wellness LLC (Big Spring, TX). 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 Kerubo Nyachieo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kerubo Nyachieo accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna HealthCare of Arizona, Inc, Cigna Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Kerubo Nyachieo 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 Kerubo Nyachieo was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.