MATILDA OTANG EYONG EPSE EBAIETAKA PMHNP
NPI 1952159253
Nurse Practitioner - Psychiatric/Mental Health in Gilbert, AZ
About Matilda Otang Eyong Epse Ebaietaka Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATILDA OTANG EYONG EPSE EBAIETAKA PMHNP (NPI 1952159253) is an individual psychiatric/mental health provider in Gilbert, Arizona, licensed in Arizona (223835) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
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
Matilda Otang Eyong Epse Ebaietaka Pmhnp 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 Reassignments
6Medicare enrollment records show Matilda Eyong Epse Ebaietaka reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mesa, AZ 85204
- Reassigned Medicare billing, Arizona enrollment
- 15 clinicians in this Medicare group
Mesa, AZ 85201
- Reassigned Medicare billing, Arizona enrollment
- 8 clinicians in this Medicare group
Phoenix, AZ 85014
- Reassigned Medicare billing, Arizona enrollment
- 49 clinicians in this Medicare group
Coolidge, AZ 85128
- Reassigned Medicare billing, Arizona enrollment
- Medicare enrollment name: Pinal Hispanic Council
- 30 clinicians in this Medicare group
Casa Grande, AZ 85122
- Reassigned Medicare billing, Arizona enrollment
- 25 clinicians in this Medicare group
Tucson, AZ 85745
- Reassigned Medicare billing, Arizona enrollment
- 20 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 85297 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Matilda Eyong Epse Ebaietaka's NPI number?
The NPI number for Matilda Eyong Epse Ebaietaka is 1952159253. It was assigned to this individual provider in the NPPES registry on May 10, 2024.
Where is Matilda Eyong Epse Ebaietaka located?
Matilda Eyong Epse Ebaietaka practices at 3755 S Rome Street, Gilbert, AZ 85297. The listed phone number is (480) 677-5500.
What is Matilda Eyong Epse Ebaietaka's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Matilda Eyong Epse Ebaietaka enrolled in Medicare?
Yes. Matilda Eyong Epse Ebaietaka 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 organizations bill Medicare for Matilda Eyong Epse Ebaietaka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matilda Eyong Epse Ebaietaka reassigns Medicare benefits to 6 organizations: Family Service Agency (Mesa, AZ), Fulton & Fulton LLC (Mesa, AZ), Community Partners Integrated Healthcare, Inc. (Phoenix, AZ), Pinal Hispanic Council Incorporated (Coolidge, AZ), Intermountain Health Center, Inc. (Casa Grande, AZ) and 1 more organization, listed in the Medicare section above. 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 Matilda Eyong Epse Ebaietaka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matilda Eyong Epse Ebaietaka accept?
Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Matilda Eyong Epse Ebaietaka 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 Matilda Eyong Epse Ebaietaka was last updated on May 10, 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.
# Matilda Otang Eyong Epse Ebaietaka, PMHNP · NPI 1952159253
Psychiatric/Mental Health physician in Gilbert, Arizona. Individual provider, active in the CMS NPPES registry since May 10, 2024.
## Identity
- **NPI:** 1952159253 (Entity type: Individual)
- **Enumerated:** May 10, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 223835 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 3755 S ROME STREET, Gilbert, AZ 85297
- **Phone:** (480) 677-5500
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Family Service Agency (NPI 1740487222, Mesa, AZ); Fulton & Fulton LLC (NPI 1790384014, Mesa, AZ); Community Partners Integrated Healthcare, Inc. (NPI 1346620358, Phoenix, AZ); Pinal Hispanic Council Incorporated (NPI 1194521914, Coolidge, AZ); Intermountain Health Center, Inc. (NPI 1083315626, Casa Grande, AZ); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** May 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1952159253) · Data from the CMS NPPES public registry.