Individual provider Active NPI

Ekaette Ogodo, PMHNP

  • Nurse Practitioner
  • Deming, NM
National Provider Identifier
1013430974
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP-03459 Issued in NM
Practice address
PO Box 2608
Deming, NM 88031-2608
Phone
(575) 546-4800
Fax
(575) 546-0685
NPI assigned
Jul 24, 2017
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP-03459 NM
Nurse Practitioner 363L00000X CNP-03459 NM Primary
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

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

Other practice location 2

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ben Archer Health CenterGroup PAC ID 7517878796, 39 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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9295515FLMDFamily Nurse Practitioner

Practice roles

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

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

1161 Mall Dr
Ste A
Las Cruces, NM 88011
Phone (575) 522-1779

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

535 S Miranda St
Las Cruces, NM 88005

760 N Motel Blvd
Ste Ac
Las Cruces, NM 88007

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

Networks

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

Interoperability endpoints

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

Organizations & group practices 10

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1013430974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CALLE DE ALEGRA BLDG A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053423",
            "telephone_number": "575-526-1105",
            "fax_number": "575-524-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 2608",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880312608",
            "telephone_number": "575-546-4800",
            "fax_number": "575-546-0685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "623 Breezeway Ct",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335118044",
            "country_code": "US",
            "telephone_number": "813-833-5230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "760 N Motel Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880074169",
            "country_code": "US",
            "telephone_number": "575-527-7975",
            "fax_number": "575-674-2861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGODO",
        "first_name": "EKAETTE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "CNP-03459",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP-03459",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9295515",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deming, NM

Sources for this page

Verify at the official NPI Registry.