FIDELIS OSONDU EBEREONWU
NPI 1962005850
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since November 21, 2020PECOS Enrolled
924 W JESSICA LN, PHOENIX, AZ 85041(480) 332-8764 Get Directions Write a Review

NPPES record last updated: November 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fidelis Osondu Ebereonwu NPPES

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

FIDELIS OSONDU EBEREONWU (NPI 1962005850) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (RNP250307) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962005850
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameFIDELIS OSONDU EBEREONWU
Location Address924 W JESSICA LNPhoenix, AZ 85041-3978
Mailing Address924 W Jessica LnPhoenix, AZ 85041-3978 · (480) 332-8764
Sole ProprietorNo
Enumeration DateNovember 21, 2020
NPPES CertifiedNovember 21, 2020
NPI 1962005850 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 · RNP250307
924 W JESSICA LN, Phoenix, AZ 85041

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Fidelis Osondu Ebereonwu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
51 services24 patients
New patient office or other outpatient visit, 60-74 minutes 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85041 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

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

Nurse Practitioner (Psychiatric/Mental Health)
924 W JESSICA LN
PHOENIX, AZ 85041

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962005850, enumerated as an "individual" on November 21, 2020.

The provider is located at 924 W JESSICA LN PHOENIX, AZ 85041 and the phone number is (480) 332-8764.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Oscar Health. Please consult your insurance carrier or call the provider to verify.