Victory Health Solution LLC
NPI 1912515305 · Psychiatric/Mental Health Nurse Practitioner · Mesa, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Victory Health Solution LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Mesa, AZ (NPI 1912515305).
Provider details
- NPI number
- 1912515305
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ibukun Odutola, Owner(623) 321-0760
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-07-21
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Frequently asked questions
- What is Victory Health Solution LLC's NPI number?
- Victory Health Solution LLC's National Provider Identifier (NPI) is 1912515305, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Victory Health Solution LLC?
- Victory Health Solution LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Victory Health Solution LLC located?
- Victory Health Solution LLC's practice location on file with NPPES is 1136 E Harmony Ave # 202b-2, Mesa, AZ 85204-5844.
- What is Victory Health Solution LLC's phone number?
- The practice phone number listed in the NPPES registry for Victory Health Solution LLC is (602) 502-4872.
- Does Victory Health Solution LLC accept Medicare?
- Victory Health Solution LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Victory Health Solution LLC?
- The authorized official listed on Victory Health Solution LLC's NPPES record is Ibukun Odutola, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Victory Health Solution LLC's NPI active?
- Yes — Victory Health Solution LLC's NPI (1912515305) is active in the NPPES registry as of the last update on 2026-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.