UDOKA DEBORAH ETI (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1093166142
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for UDOKA DEBORAH ETI (NP)
107 S Division St
Spokane, WA 992021510
Phone: (509) 838-4651
Type: Location
930 N MULLAN RD STE 1
SPOKANE VALLEY, WA 992064004
Phone: (509) 596-1174
Type: Mailing
107 S DIVISION ST
SPOKANE, WA 992021510
Phone: (509) 838-4651
Type: Mailing
1401 N CALISPEL ST
SPOKANE, WA 992012317
Phone: (509) 838-4651
Type: Location
1401 N Calispel St
Spokane, WA 992012317
Phone: (509) 838-4651
Type: Location
6708 S SUMMIT LN
GREENACRES, WA 990167811
Phone: (832) 758-8166
Type: Mailing
621 W MALLON AVE STE 503
SPOKANE, WA 99201
Phone: (509) 324-7318
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $3,327.
Total Amount is formed as General ($3,327) + Research ($0) + Ownership ($0) = $3,327.
Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Neuronetics, Inc. ($1,894).
Total Amount
$3,327
General + Research + Ownership
Payments
26
Total payment records
General Amount
$3,327
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neuronetics, Inc. | $1,894 |
| ABBVIE INC. | $361 |
| Teva Pharmaceuticals USA, Inc. | $353 |
| Otsuka America Pharmaceutical, Inc. | $161 |
| Alkermes, Inc. | $130 |
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: 2019-05-28
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 |
|---|---|---|---|---|
| I20190528000291 | I | Nurse Practitioner | WA | 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 99202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MT | |
| - | WA | |
| - | WA | |
| Clinical Social Worker | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| Clinical Social Worker | WA | |
| - | WA | |
| P S Y C H I A T R Y | WA | |
| Clinical Social Worker | WA |
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