Medina Makena Kamau, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP7446 Issued in AZ

Practice address

9051 W Kelton LN Ste 13
Peoria, AZ 85382-3533

Phone

(623) 815-5700

Fax

(623) 815-5759

NPI assigned

Nov 20, 2014

Last updated

Aug 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Connectionsaz, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1083840953
  Medicare reassignment NPD
• District Medical Group, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
  • NPI 1336472448
  Medicare reassignment NPD
• Southwest Network

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1104856004
  Medicare reassignment NPD
• Arizona Intergrated Tele Psychiatry and Tele Medicine Services LLC

  dba Azitts

  • Family Health Clinical Nurse Specialist
  • Mesa, AZ
  • NPI 1629554126
  NPD (past) Authorized official
• Connectionsaz, LLC

  dba UPC Outpatient Services (clinic)

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1194135152
  NPD
• Connectionsaz, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1972985547
  NPD
• District Medical Group, Inc

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
  • NPI 1083947196
  NPD
• District Medical Group, Inc

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1144624339
  NPD
• Southwest Network, Inc.

  dba Southwest Network

  • Community/Behavioral Health Agency
  • Chandler, AZ
  • NPI 1487981338
  NPD
• Kmtrask, PLLC

  • Nurse Practitioner
  • Gilbert, AZ
  • NPI 1518413962
  NPD (past)
• Marcann Mental Health Services, PLLC

  • Clinical Psychologist
  • Phoenix, AZ
  • NPI 1992036545

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1215334172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N CENTRAL AVE STE 1050",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041217",
            "telephone_number": "602-266-8402",
            "fax_number": "602-264-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 W KELTON LN STE 13",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823533",
            "telephone_number": "623-815-5700",
            "fax_number": "623-815-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMAU",
        "first_name": "MEDINA",
        "middle_name": "MAKENA",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP7446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "977306",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghann Marie Kahabka
• Kairos Moment Healthcare and Behavioral Clinic - LLC (Kairos Moment Healthcare and Behavioral Clinic)
• Bhumit Kalavadiya, PHARMD
• Martin Kallookaran
• Tara Kalton, PHARMD
• Sylvia Kamel, DDS
• Amy L Kaminski, PH.D
• Heidi Kaminski, MSW, LCSW
• Mandip S Kang, M.D.
• Yvonne Kankindi, BSN,RN

• Psychiatric/Mental Health Nurse Practitioner in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.