Ebenezer Bodude, RN
NPI 1275900060ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Phoenix, AZ
Nurse Practitioner, Psych/Mental Health (RN) with Community Bridges Inc, practicing in Phoenix, Arizona. Mostly services rather than prescriptions: Medicare paid $5,420 for 59 patients in 2024, with only 48 Part D claims. E.R. Squibb & Sons, L.L.C. reported $125.00 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1275900060 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN |
| Sole proprietor | Yes |
| NPI issued | Aug 27, 2015 |
| Last updated in NPPES | Oct 25, 2023 |
| Certified by provider | Oct 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 298440 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 59 |
|---|---|
| Services billed | 95 across 10 procedure codes |
| Paid by Medicare | $5,420 |
Part D prescriptions in 2024
| Prescriptions (claims) | 48 · 48 30-day fills |
|---|---|
| Patients | 26 |
| Total drug cost | $4,120 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Community Bridges IncPhoenix, AZ · 109 clinicians
Industry payments (Open Payments)
- 2025$125.00 · 1 payment from 1 company
- 2024$72.77 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| E.R. Squibb & Sons, L.L.C. | $125.00 | 1 |
What the 2025 payments were for
- Food and Beverage$125.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other psychiatric nurse practitioners in Phoenix
- 1003424102
- 1003538844
- 1043895030
- 1053074138
- 1053854638
- 1073213781
- 1093935538
- 1114533130
- 1114785953
- 1164283818
- 1184116824
- 1194287391
All 707 psychiatric nurse practitioners in Phoenix · All psychiatric nurse practitioners in Arizona