ALZETTA CLAY OBAHIAGBON
NPI 1992305551
Nurse Practitioner - Family in Tempe, AZ

Q: What is Alzetta Obahiagbon's NPI number?

The NPI number for Alzetta Obahiagbon is 1992305551. It was assigned to this individual provider in the NPPES registry on October 31, 2020.

Q: What is Alzetta Obahiagbon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since October 31, 2020PECOS Enrolled

77.4/100

CMS Quality Rating

1750 E BROADWAY RD, TEMPE, AZ 85282(480) 557-0970 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2021, Mar 11, 2021, Oct 31, 2020 (3 updates tracked since 2020).

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About Alzetta Clay Obahiagbon NPPES

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

ALZETTA CLAY OBAHIAGBON (NPI 1992305551) is an individual family provider in Tempe, Arizona, licensed in Arizona (255362) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992305551

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALZETTA CLAY OBAHIAGBON

Location Address1750 E BROADWAY RDTempe, AZ 85282-1612

Mailing Address1750 E Broadway RdTempe, AZ 85282-1612 · (480) 557-0970

Phone(480) 557-0970

Sole ProprietorNo

Enumeration DateOctober 31, 2020

Last NPPES UpdateJune 10, 20213 updates tracked since enumeration

NPPES CertifiedJune 9, 2021

✔ NPI 1992305551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · 255362

Also ListedRegistered NurseTaxonomy 163W00000X · License RN195688 (AZ)

1750 E BROADWAY RD, Tempe, AZ 85282

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alzetta Clay Obahiagbon 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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

23 services23 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85282 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.24

Improvement Activities

Cost

59.06

Other Providers at the Same Location NPPES 17

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

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