Annabel Owusu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

286639 Issued in AZ

Practice address

14574 Sunland Gin Rd
Arizona City, AZ 85123

Phone

(520) 387-5651

NPI assigned

Jun 25, 2010

Last updated

Jul 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, 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

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Desert Senita Community Health CenterGroup PAC ID 3476441866, 12 clinicians

Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: annabel.owusunp.p1@direct.cbridges.nextgenshare.com

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.

• Community Bridges, Inc.

  dba CBI - Encompass Page Integrated Health Home

  • Adult Mental Health Clinic/Center
  • Page, AZ
  • NPI 1558095315
  Medicare reassignment Care Compare group NPD
• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Ajo, AZ
  • NPI 1114037496
  Medicare reassignment Care Compare group NPD
• Ultimate Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1083462378
  Medicare reassignment NPD Authorized official
• Ultimate Professional Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, OR
  • NPI 1861149296

  TX

  Medicare reassignment NPD Authorized official
• Community Bridges, Inc

  dba Lighthouse

  • Mental Illness Community Based Residential Treatment Facility
  • Yuma, AZ
  • NPI 1861722175
  NPD
• Community Bridges, Inc.

  dba Toole Outpatient Service Center

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1427596196
  NPD
• Community Bridges, Inc.

  dba Community Psychiatric Emergency Center - Outpatient

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1588348775
  NPD
• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Arizona City, AZ
  • NPI 1447124326
  NPD
• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Arizona City, AZ
  • NPI 1548794142
  NPD
• Community Bridges, Inc.

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1508124488
  NPD (past)
• Community Bridges, Inc.

  dba Central City Addiction Recovery Center

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1649426909
  NPD (past)
• Community Bridges, Inc.

  dba CCARC Crisis

  • Nursing Care Agency
  • Phoenix, AZ
  • NPI 1891288049
  NPD (past)

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1588975452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N MALACATE ST",
            "city": "AJO",
            "state": "AZ",
            "postal_code": "853212254",
            "telephone_number": "520-387-5651",
            "fax_number": "520-387-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14574 SUNLAND GIN RD",
            "city": "ARIZONA CITY",
            "state": "AZ",
            "postal_code": "85123",
            "telephone_number": "520-387-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWUSU",
        "first_name": "ANNABEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61176082",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1032493",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "286639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert Joseph Montano, FNP-BC
• Cecilia Araceli Munoz, NP
• Brenda Lee Neeley, LMSW, LISAC
• Kenneth Nembu, PMHNP
• Steven Ong
• Park Place Outreach & Counseling Centers, Inc.
• Park Place Outreach and Counseling Centers Inc
• Park Place Outreach and Counseling Centers Inc
• Park Place Outreach and Counseling Inc
• Joseph Parraz, CVT

• Psychiatric/Mental Health Nurse Practitioner in Arizona City, AZ
• Providers in Arizona City, 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 Jul 31, 2024; 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.