NPIMap

Ekaette Ogodo, PMHNP

Individual provider Active NPI Nurse Practitioner · Deming, NM

NPI 1013430974 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1013430974
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
CNP-03459 (NM)
Practice address
PO Box 2608
Deming, NM 88031-2608
Phone
(575) 546-4800
Fax
(575) 546-0685
NPI assigned
Jul 24, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 34

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 34

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ben Archer Health Center (39 clinicians)
La Clinica de Familia Incorporated (70 clinicians)

Practice addresses (Care Compare)

125 Chaparrel Blvd NW
Deming, NM 88030-8629
Phone (575) 546-4800

535 S Miranda St
LCDF Las Cruces Mental Health Cente
Las Cruces, NM 88005-2823
Phone (575) 647-2800

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180215000676 NM Practitioner - Nurse Practitioner 8325308125 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9295515FLMDFamily Nurse Practitioner
CNP-03459NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles (10 of 16)

OrganizationSpecialtyStatusNew patients
La Clinica de Familia, Incorporated Current
since Sep 15, 2025		 Accepting new patients
Alt Recovery Group LLC Current
since Apr 1, 2025		 Accepting new patients
Ben Archer Health Center Current
since Jan 8, 2018		 Accepting new patients
Alt Recovery Group LLC Current Accepting new patients
Ben Archer Health Center Current
since Jan 8, 2018		 Accepting new patients
La Clinica de Familia, Incorporated Current Accepting new patients
La Clinica de Familia, Incorporated Current
since Sep 15, 2025		 Accepting new patients
Ben Archer Health Center Current Accepting new patients
Ben Archer Health Center Past
since Jan 8, 2018		 Accepting new patients
Ben Archer Health Center Past Accepting new patients

Locations

826 Anthony Dr
Anthony, NM 88021
Phone (575) 201-5135

385 Calle de Alegra
Bldg A
Las Cruces, NM 88005
Phone 57552611052444

760 N Motel Blvd
Ste Ac
Las Cruces, NM 88007

1161 Mall Dr
Ste A
Las Cruces, NM 88011
Phone (575) 522-0660

535 S Miranda St
Las Cruces, NM 88005

1141 Mall Dr
Ste E
Las Cruces, NM 88011
Phone (575) 522-0660

1960 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-7662

Networks

  • TX HMO D-SNP
  • TX HMO
  • CO HMO D-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO
  • NM HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: ekaette.ogodo.1@31963.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP-03459 NM
Nurse Practitioner 363L00000X CNP-03459 NM Yes
Family Nurse Practitioner 363LF0000X 9295515 FL

Addresses

Primary practice location

PO Box 2608
Deming, NM 88031-2608

Mailing address

385 Calle de Alegra BLDG a
Las Cruces, NM 88005-3423
Phone (575) 526-1105

Other practice location 1

760 N Motel Blvd
Las Cruces, NM 88007-4169
Phone (575) 527-7975

Other practice location 2

623 Breezeway Ct
Brandon, FL 33511-8044
Phone (813) 833-5230

Other providers in Deming, NM

All providers in Deming, NM · Nurse Practitioner in New Mexico

Sources for this page

Verify at the official NPI Registry.