Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TERESA KANGETHE PMHNP
NPI 1982467395
Nurse Practitioner - Psychiatric/Mental Health in San Tan Valley, AZ

Active since January 31, 2024PECOS Enrolled
4419 W JOSEPHINE ST, SAN TAN VALLEY, AZ 85144(480) 274-5587 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Teresa Kangethe Pmhnp NPPES

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

TERESA KANGETHE PMHNP (NPI 1982467395) is an individual psychiatric/mental health provider in San Tan Valley, Arizona, licensed in Arizona (303534) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Coalinga, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1982467395
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTERESA KANGETHECredential: PMHNP
Location Address4419 W JOSEPHINE STSan Tan Valley, AZ 85144-0317
Mailing Address4419 W Josephine StSan Tan Valley, AZ 85144-0317 · (480) 274-5587
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 31, 2024
Last NPPES UpdateOctober 22, 2026
NPPES CertifiedOctober 22, 2026
✔ NPI 1982467395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · 303534
Also ListedRegistered NurseTaxonomy 163W00000X · License RN95451086 (CA)
4419 W JOSEPHINE ST, San Tan Valley, AZ 85144

Secondary Practice Location 1

Location 1400 W Forest Ave Apt 119Coalinga, CA 93210-2567 · Phone (480) 274-5587

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Kangethe Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486186640
PECOS Enrollment IDI20241014002583
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.

Medicare Billing Reassignment

Medicare enrollment records show Teresa Kangethe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
4419 W JOSEPHINE ST
San Tan Valley, AZ 85144
  • Reassigned Medicare billing, Arizona enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

Community Based Residential Treatment Facility, Mental Illness
4419 W JOSEPHINE ST
SAN TAN VALLEY, AZ 85144
Clinic/Center (Mental Health (Including Community Mental Health Center))
4419 W JOSEPHINE ST
SAN TAN VALLEY, AZ 85144

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 Teresa Kangethe's NPI number?

The NPI number for Teresa Kangethe is 1982467395. It was assigned to this individual provider in the NPPES registry on January 31, 2024.

Where is Teresa Kangethe located?

Teresa Kangethe practices at 4419 W Josephine St, San Tan Valley, AZ 85144. The listed phone number is (480) 274-5587.

What is Teresa Kangethe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Teresa Kangethe enrolled in Medicare?

Yes. Teresa Kangethe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Teresa Kangethe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Kangethe reassigns Medicare benefits to Mental Health Refreshed LLC (San Tan Valley, 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 Teresa Kangethe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Kangethe accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. and 1 other insurer list Teresa Kangethe 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 Teresa Kangethe was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.