SYDNEY CASSANDRA OMEKANDA (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1407707284

SYDNEY CASSANDRA OMEKANDA (PMHNP-BC) is a healthcare provider. based in Surprise, Arizona. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 4704370217 (MI). The NPI Number for SYDNEY CASSANDRA OMEKANDA (PMHNP-BC) is 1407707284

Main info

Female
1 Year Of Experience
Name
SYDNEY CASSANDRA OMEKANDA (PMHNP-BC)
NPI
1407707284
Phone
(602) 510-7142
Address
14674 W MOUNTAIN VIEW BLVD STE 100
Enumeration Date
6 February 2026
Last Update Date
6 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2025 (1 year ago)
PAC ID
3577046861
Professional Enrollment ID
I20260314000417
Address ID
MI486701000MI4000XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for SYDNEY CASSANDRA OMEKANDA (PMHNP-BC)

  • 14674 W MOUNTAIN VIEW BLVD STE 100

    SURPRISE, AZ 853742707

    Phone: (602) 510-7142

    Type: Mailing

  • 1501 W CHISHOLM ST

    ALPENA, MI 497071401

    Phone: (989) 356-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260314000417INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85374)

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Reviews

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Frequently asked questions

What identifier follows SYDNEY CASSANDRA OMEKANDA (PMHNP-BC) across health systems?
The NPI 1407707284 uniquely identifies SYDNEY CASSANDRA OMEKANDA (PMHNP-BC) in U.S. healthcare data.
Does the public listing show SYDNEY CASSANDRA OMEKANDA (PMHNP-BC) as active?
SYDNEY CASSANDRA OMEKANDA (PMHNP-BC)'s NPI record reflects an active status in NPPES.
What services align with SYDNEY CASSANDRA OMEKANDA (PMHNP-BC)'s listing?
SYDNEY CASSANDRA OMEKANDA (PMHNP-BC)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SYDNEY CASSANDRA OMEKANDA (PMHNP-BC)?
SYDNEY CASSANDRA OMEKANDA (PMHNP-BC) is associated with Surprise, Arizona in the same public data insurers reference.
Can I export SYDNEY CASSANDRA OMEKANDA (PMHNP-BC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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