Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MODUPE G. OKHIPO NP
NPI 1104607068
Nurse Practitioner - Family in Providence, RI

Q: What is Modupe Okhipo's NPI number?

The NPI number for Modupe Okhipo is 1104607068. It was assigned to this individual provider in the NPPES registry on October 6, 2023.

Q: What is Modupe Okhipo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Modupe Okhipo was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.

Active since October 06, 2023PECOS EnrolledAccepts Medicare Assignment

239 CRANSTON ST, PROVIDENCE, RI 02907(401) 444-0580(401) 444-0428 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 10, 2026, Sep 20, 2024, Oct 6, 2023 (3 updates tracked since 2023).

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About Modupe G. Okhipo Np NPPES

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

MODUPE G. OKHIPO NP (NPI 1104607068) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (APRN05430) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Holyoke Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104607068

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMODUPE G. OKHIPOCredential: NP

Location Address239 CRANSTON STProvidence, RI 02907-2406

Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 444-0400

Phone(401) 444-0580

Fax(401) 444-0428

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 6, 2023

Last NPPES UpdateSeptember 10, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2026

✔ NPI 1104607068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in RI · APRN05430✔ Licensed in MA · RN2310139

239 CRANSTON ST, Providence, RI 02907

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Modupe G. Okhipo 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 ID5294184958

PECOS Enrollment IDI20231207001199

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.

Medicare Billing Reassignments

Medicare enrollment records show Modupe Okhipo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Holyoke Health Center Inc.

65 mi

Community Health

505 FRONT STREET
Chicopee, MA 01013

Reassigned Medicare billing, Massachusetts enrollment
55 clinicians in this Medicare group

NPI 1518948595 (413) 420-2222

Molina Care Connections, LLC.

2,586 mi

Nurse Practitioner

200 OCEANGATE STE 100
Long Beach, CA 90802

Reassigned Medicare billing, Massachusetts enrollment
61 clinicians in this Medicare group

NPI 1407243223 (888) 562-5442

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holyoke Medical Center

Acute Care Hospitals · Holyoke, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220024

Location575 Beech StreetHolyoke, MA 01040 · Hampden County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02907 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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 19

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

SIGNE L. CHRISTENSEN RN, CDOE

Registered Nurse (Diabetes Educator)