DR. NGOZI ODOH (PHD, APRN,GNP,ANP-BC) – Gerontology Nurse Practitioner, NPI 1376520577
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. NGOZI ODOH (PHD, APRN,GNP,ANP-BC)
State Road 436, Casselberry, Seminole County, Florida, 32972, United States
CASSELBERRY, FL 327075664
Phone: (407) 831-5252
Fax: (407) 831-3765
Type: Mailing
985 State Road 436
Casselberry, FL 327075664
Phone: (407) 831-5252
Fax: (407) 831-3765
Type: Location
2750 TAYLOR AVE
ORLANDO, FL 328064474
Phone: (407) 754-6710
Type: Mailing
7620 LAKE UNDERHILL RD
ORLANDO, FL 328228223
Phone: (321) 235-0692
Fax: (321) 235-0694
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $213.
Total Amount is formed as General ($213) + Research ($0) + Ownership ($0) = $213.
Last reported payment date: 2024-08-15 • Largest payer in this snapshot: Novo Nordisk Inc ($111).
Total Amount
$213
General + Research + Ownership
Payments
2
Total payment records
General Amount
$213
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $111 |
| Genentech USA, Inc. | $102 |
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: 2004-05-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040519001051 | I | Nurse Practitioner | FL | TBD |
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.
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 32707)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | FL | |
| Internal Medicine | MI | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| Family Practice, Geriatric Medicine | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| - | FL |
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