ANIEMA JAMES ETUKUDOH
NPI 1902772544
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ
About Aniema James Etukudoh NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANIEMA JAMES ETUKUDOH (NPI 1902772544) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (242681) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Aniema James Etukudoh 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.
Medicare Billing Reassignment
Medicare enrollment records show Aniema Etukudoh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85012
- Reassigned Medicare billing, Arizona enrollment
- 234 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 85012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85012
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 Aniema Etukudoh's NPI number?
The NPI number for Aniema Etukudoh is 1902772544. It was assigned to this individual provider in the NPPES registry on October 13, 2025.
Where is Aniema Etukudoh located?
Aniema Etukudoh practices at 3033 N Central Ave Ste 145, Phoenix, AZ 85012. The listed phone number is (480) 964-2273.
What is Aniema Etukudoh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Aniema Etukudoh enrolled in Medicare?
Yes. Aniema Etukudoh 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.
Which organization bills Medicare for Aniema Etukudoh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Aniema Etukudoh reassigns Medicare benefits to Adelante Healthcare, Inc. (Phoenix, AZ). The 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 Aniema Etukudoh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Aniema Etukudoh accept?
Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Aniema Etukudoh 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 Aniema Etukudoh was last updated on January 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Aniema James Etukudoh · NPI 1902772544
Psychiatric/Mental Health physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since October 13, 2025.
## Identity
- **NPI:** 1902772544 (Entity type: Individual)
- **Enumerated:** October 13, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 242681 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3033 N CENTRAL AVE STE 145, Phoenix, AZ 85012-2808
- **Phone:** (480) 964-2273
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Adelante Healthcare, Inc. (NPI 1528126133, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** January 18, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1902772544) · Data from the CMS NPPES public registry.