Peter Njogu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

279774 Issued in AZ

Practice address

28581 N Clover Cir
San Tan Valley, AZ 85143-5869

Phone

(316) 371-9196

NPI assigned

Dec 27, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, WA, TX3 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 3

Specialty

Nurse Practitioner

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grand Canyon Psychiatric Services PLLCGroup PAC ID 5890148498, 2 clinicians

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.

• Grand Canyon Psychiatric Services PLLC

  dba Grand Canyon Psychiatric Services

  • Psychiatric/Mental Health Nurse Practitioner
  • San Tan Valley, AZ
  • NPI 1609571173

  WA

  Medicare reassignment Care Compare group NPD Authorized official
• Jarullah Investments, Inc

  dba MPower Wellness Center

  • Family Nurse Practitioner
  • Peoria, AZ
  • NPI 1598594095
  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  AZ, Psychiatric/Mental Health

  Medicare reassignment NPD
• Guardian Angels Home Health LLC

  • Home Health Agency
  • Mesa, AZ
  • NPI 1215757976
  NPD Authorized official
• Guardian Angels Hospice LLC

  • Community Based Hospice Care Agency
  • Mesa, AZ
  • NPI 1083434708
  NPD Authorized official
• Phoenix Psychiatric Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
  • NPI 1225724867
  Authorized official Same address or phone
• Bee Well Healthcare, PLLC

  • Family Nurse Practitioner
  • Peoria, AZ
  • NPI 1215615497

  Psychiatric/Mental Health

  NPD
• 2ND Chance Behavioral Health Services LLC

  • Adult Mental Health Clinic/Center
  • Glendale, AZ
  • NPI 1053008870
  NPD (past)
• Desert Life Center LLC

  • Community/Behavioral Health Agency
  • Avondale, AZ
  • NPI 1962107607

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1437862257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E MCKELLIPS RD STE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032739",
            "telephone_number": "316-371-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28581 N CLOVER CIR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435869",
            "telephone_number": "316-371-9196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 E McKellips Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852032739",
            "country_code": "US",
            "telephone_number": "316-371-9196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NJOGU",
        "first_name": "PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-27",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "279774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in San Tan Valley, AZ
• Providers in San Tan Valley, 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 Jun 21, 2023; 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.