Individual provider Active NPI

Andrew Owusu-Ansah

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1982246484
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
233236 Issued in AZ
Practice address
358 E Javelina Ave
Mesa, AZ 85210-6205
Phone
(480) 831-7563
NPI assigned
Oct 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 233236 AZ Primary

Addresses

Primary practice location

358 E Javelina Ave
Mesa, AZ 85210-6205

Mailing address

5531 Canyon Rd Apt 728
Benbrook, TX 76126-1813
Phone (817) 449-5235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20191230002421 AZ Practitioner - Nurse Practitioner 8123452067 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

358 E Javelina Ave
Suite 102
Mesa, AZ 85210-6205
Phone (480) 507-3180

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc CurrentSince Nov 1, 2019 Accepting new patients
Scottsdale Physicians Group PLC CurrentSince Aug 31, 2020 Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc Current Accepting new patients
Community Bridges, Inc. Current Accepting new patients
United Telehealth Corp CurrentSince Aug 31, 2020 Accepting new patients
Community Bridges, Inc. CurrentSince Nov 1, 2019 Accepting new patients

Locations

358 E Javelina Ave
Ste 102
Mesa, AZ 85210
Phone (480) 507-3180

460 N Mesa Dr
Ste 201
Mesa, AZ 85201
Phone (480) 838-5550

358 E Javelina Ave
Ste 101
Mesa, AZ 85210
Phone (480) 507-3180

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258
Phone (480) 214-9720

250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

Interoperability endpoints

  • Direct secure messaging: andrew.owusu-ansah@240587814797316.direct.elationemr.com
  • Direct secure messaging: andrew.owusuansahpnp.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1982246484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5531 CANYON RD APT 728",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761261813",
            "telephone_number": "817-449-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 E JAVELINA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106205",
            "telephone_number": "480-831-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWUSU-ANSAH",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "233236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.