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BOLATITO OYERONKE OKOUGBO NP
NPI 1063095503
Nurse Practitioner - Psychiatric/Mental Health in Avondale, AZ

Active since May 03, 2021PECOS EnrolledAccepts Medicare Assignment
10926 W IVORY LN, AVONDALE, AZ 85392(623) 977-7644 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bolatito Oyeronke Okougbo Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOLATITO OYERONKE OKOUGBO NP (NPI 1063095503) is an individual psychiatric/mental health provider in Avondale, Arizona, licensed in Arizona (257217) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1063095503
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBOLATITO OYERONKE OKOUGBOCredential: NP
Location Address10926 W IVORY LNAvondale, AZ 85392-4025
Mailing Address10926 W Ivory LnAvondale, AZ 85392-4025 · (623) 877-7644
Phone(623) 977-7644
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 3, 2021
NPPES CertifiedApril 30, 2021
✔ NPI 1063095503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · 257217
10926 W IVORY LN, Avondale, AZ 85392
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bolatito Oyeronke Okougbo Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496157364
PECOS Enrollment IDI20210714003065
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85392 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MINDFLEX BEHAVIORAL HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
10926 W IVORY LN
AVONDALE, AZ 85392
Maricopa County (623) 398-9124

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bolatito Okougbo's NPI number?

The NPI number for Bolatito Okougbo is 1063095503. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Where is Bolatito Okougbo located?

Bolatito Okougbo practices at 10926 W Ivory Ln, Avondale, AZ 85392. The listed phone number is (623) 977-7644.

What is Bolatito Okougbo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Bolatito Okougbo enrolled in Medicare?

Yes. Bolatito Okougbo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bolatito Okougbo accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and Providence Health Plan and 1 other insurer list Bolatito Okougbo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bolatito Okougbo was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.