MARY OKIMOTO NP
NPI 1144400771
Nurse Practitioner in San Luis Obispo, CA

Active since November 12, 2007PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
892 AEROVISTA PL STE 240, SAN LUIS OBISPO, CA 93401(305) 395-3277 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2025, Dec 26, 2015 (2 updates tracked since 2015).

About Mary Okimoto Np NPPES

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

MARY OKIMOTO NP (NPI 1144400771) is an individual nurse practitioner in San Luis Obispo, California, licensed in California (17444) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1144400771
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY OKIMOTOCredential: NP
Location Address892 AEROVISTA PL STE 240San Luis Obispo, CA 93401-8054
Mailing Address5767 W Century Blvd Suite 400Los Angeles, CA 90095-5631 · (310) 301-8707
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 12, 2007
Last NPPES UpdateFebruary 11, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
NPI 1144400771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in CA · 17444 Licensed in CA · 567717
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
892 AEROVISTA PL STE 240, San Luis Obispo, CA 93401

Other Identifiers 1

OtherCB242811CA · Medicare Id

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

Mary Okimoto 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 ID840372876
PECOS Enrollment IDI20080130000425
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.
24 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier17 claims483 services$11.36 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
1 supplier17 claims119 services$282.90 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier17 claims119 services$8.10 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier17 claims119 services$25.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Hematology & Oncology)
892 AEROVISTA PL STE 240
SAN LUIS OBISPO, CA 93401
Nurse Practitioner (Family)
892 AEROVISTA PL STE 240
SAN LUIS OBISPO, CA 93401
Genetic Counselor, MS
892 AEROVISTA PL STE 240
SAN LUIS OBISPO, CA 93401
Internal Medicine (Hematology & Oncology)
892 AEROVISTA PL STE 240
SAN LUIS OBISPO, CA 93401
Internal Medicine (Hematology & Oncology)
892 AEROVISTA PL STE 240
SAN LUIS OBISPO, CA 93401
Internal Medicine (Hematology & Oncology)
892 AEROVISTA PL STE 240
SAN LUIS OBISPO, CA 93401

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 Mary Okimoto's NPI number?

The NPI number for Mary Okimoto is 1144400771. It was assigned to this individual provider in the NPPES registry on November 12, 2007.

Where is Mary Okimoto located?

Mary Okimoto practices at 892 Aerovista Pl Ste 240, San Luis Obispo, CA 93401. The listed phone number is (305) 395-3277.

What is Mary Okimoto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Okimoto enrolled in Medicare?

Yes. Mary Okimoto 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.

When was this NPI record last updated?

The NPPES record for Mary Okimoto was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.