MATILDA OTANG EYONG EPSE EBAIETAKA PMHNP
NPI 1952159253
Nurse Practitioner - Psychiatric/Mental Health in Gilbert, AZ

Q: 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.

Q: 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.

Active since May 10, 2024PECOS EnrolledAccepts Medicare Assignment

3755 S ROME STREET, GILBERT, AZ 85297(480) 677-5500 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1952159253

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMATILDA OTANG EYONG EPSE EBAIETAKACredential: PMHNP

Location Address3755 S ROME STREETGilbert, AZ 85297

Mailing Address6945 S Opal DrChandler, AZ 85249-7221 · (480) 452-6424

Phone(480) 677-5500

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMay 10, 2024

NPPES CertifiedMay 10, 2024

✔ NPI 1952159253 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 · 223835

3755 S ROME STREET, Gilbert, AZ 85297

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID8729594114

PECOS Enrollment IDI20250722004052

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 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.

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.

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.

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.