Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mildred K Omoongeh, NP

Individual provider Critical Care Medicine Registered Nurse · NPI 1760945752

Mildred K Omoongeh, NP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2024, 2 years ago. Practices with Psa Behavioral Health Agency, a 6-clinician group and accepts Medicare assignment. Licensed in Arizona and Texas.

Years since qualifying
2
Licensed in
AZ, TX
In the registry since
2019
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1835 W Missouri Ave
Phoenix, AZ 85015-3046
Phone: (602) 230-0777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 231224 (AZ)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 855808 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 231224 (AZ)

Record details

NPI number1760945752
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 8, 2019
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Psa Behavioral Health Agency — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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