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ANIEMA JAMES ETUKUDOH
NPI 1902772544
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since October 13, 2025PECOS Enrolled
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012(480) 964-2273 Get Directions Write a Review

NPPES record last updated: January 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1902772544
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANIEMA JAMES ETUKUDOH
Location Address3033 N CENTRAL AVE STE 145Phoenix, AZ 85012-2808
Mailing Address3033 N Central Ave Ste 145Phoenix, AZ 85012-2808 · (480) 964-2273
Phone(480) 964-2273
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 13, 2025
Last NPPES UpdateJanuary 18, 2026
NPPES CertifiedJanuary 18, 2026
✔ NPI 1902772544 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 AZ · 242681
3033 N CENTRAL AVE STE 145, Phoenix, AZ 85012
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aniema James Etukudoh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769976356
PECOS Enrollment IDI20260306001113
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.

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.

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 3

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

ADELANTE HEALTHCARE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
3033 N CENTRAL AVE STE 145
PHOENIX, AZ 85012
Maricopa County (623) 583-3001
REBECA GARCIA
Dental Hygienist
3033 N CENTRAL AVE STE 145
PHOENIX, AZ 85012
Maricopa County (623) 583-3001
KATE SANDOVAL MEJIA RD
Dietitian, Registered
3033 N CENTRAL AVE STE 145
PHOENIX, AZ 85012
Maricopa County (623) 583-3001

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 enrollment system.

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 6 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.