Individual provider Active NPI

Jochebed Ade-Oshifogun, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1649950676
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
70680 Issued in NM
Practice address
3943 Agua Caliente Dr
Las Cruces, NM 88012-8017
Phone
(708) 769-4259
NPI assigned
Jul 24, 2023
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209026351 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 70680 NM Primary

Addresses

Primary practice location

3943 Agua Caliente Dr
Las Cruces, NM 88012-8017

Mailing address

3943 Agua Caliente Dr
Las Cruces, NM 88012-8017
Phone (708) 769-4259

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
I20241016004840 NM Practitioner - Nurse Practitioner 7012455744 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
Telehealth
Offers telehealth services
Group practices
Border Area Mental Health Services, Inc.Group PAC ID 5193797587, 12 clinicians

Practice addresses (Care Compare)

315 S Hudson St
Suite 12
Silver City, NM 88061-6184
Phone (575) 388-4497

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209026351ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greeg Family Healthcare Services Current Accepting new patients
Border Area Mental Health Services, Inc CurrentSince Jul 22, 2024 Accepting new patients
New Mexico Health Options PastSince Jul 22, 2024 Accepting new patients

Locations

401 Anthony Dr
Ste G
Anthony, NM 88021
Phone (832) 865-2183

429 E Olive St
Deming, NM 88030
Phone (505) 546-4115

100 W Griggs Ave
Las Cruces, NM 88001
Phone (505) 647-2800

315 S Hudson St
Ste 12
Silver City, NM 88061
Phone (575) 388-4497

Organizations & group practices 3

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1649950676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3943 AGUA CALIENTE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880128017",
            "telephone_number": "708-769-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3943 AGUA CALIENTE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880128017",
            "telephone_number": "708-769-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADE-OSHIFOGUN",
        "first_name": "JOCHEBED",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209026351",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "70680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.