Individual provider Active NPI

Felicia Owokonu Odo, NP

  • Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1477241743
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.027106 Issued in IL
Practice address
11518 N Frontage Rd
Yuma, AZ 85367-8994
Phone
(928) 342-6500
NPI assigned
Apr 25, 2023
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.027106 IL Primary

Addresses

Primary practice location

11518 N Frontage Rd
Yuma, AZ 85367-8994

Mailing address

PO Box 669
Yuma, AZ 85366-2329
Phone (520) 476-3503

Other practice location 1

1198 Jennifer Ln
Bolingbrook, IL 60440-1590
Phone (708) 890-0990

Other practice location 2

1962 E Juan Sanchez Blvd Ste C2
San Luis, AZ 85336-0478
Phone (928) 627-4825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, 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

Enrollment IDStateProvider typePAC IDDetails
I20240220001441 IL Practitioner - Nurse Practitioner 3274977103 Reassigns benefits to 2 organizations
I20240624005119 AZ Practitioner - Nurse Practitioner 3274977103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bio Family Clinic IncGroup PAC ID 2769668136, 37 clinicians

Practice addresses (Care Compare)

11518 N Frontage Rd
Yuma, AZ 85367-8994
Phone (928) 342-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.027106ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Jun 18, 2024 Accepting new patients
Vpa PC CurrentSince Jun 18, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Dec 23, 2023 Accepting new patients
Bio Family Clinic Inc CurrentSince Jun 1, 2024 Accepting new patients
Citycare Services Inc Current Accepting new patients

Locations

1962 E Juan Sanchez Blvd
Ste C2
San Luis, AZ 85336
Phone (928) 627-4825

11518 N Frontage Rd
Yuma, AZ 85367
Phone (928) 342-6500

11611 S Foothills Blvd
Ste G
Yuma, AZ 85367
Phone (520) 476-3503

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 6

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": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1477241743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662329",
            "telephone_number": "520-476-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11518 N FRONTAGE RD",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853678994",
            "telephone_number": "928-342-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1198 Jennifer Ln",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604401590",
            "country_code": "US",
            "telephone_number": "708-890-0990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1962 E Juan Sanchez Blvd Ste C2",
            "address_purpose": "LOCATION",
            "city": "San Luis",
            "state": "AZ",
            "postal_code": "853360478",
            "country_code": "US",
            "telephone_number": "928-627-4825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODO",
        "first_name": "FELICIA",
        "middle_name": "OWOKONU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.027106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.