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CLEMENTINE OKIE
NPI 1205468030
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since February 10, 2020PECOS EnrolledAccepts Medicare Assignment
4128 HAYWARD AVE, BALTIMORE, MD 21215(410) 314-1030 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2024, Aug 31, 2023, Feb 10, 2020 (3 updates tracked since 2020).

About Clementine Okie NPPES

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

CLEMENTINE OKIE (NPI 1205468030) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R196829) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205468030
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCLEMENTINE OKIE
Location Address4128 HAYWARD AVEBaltimore, MD 21215-4340
Mailing Address4128 Hayward AveBaltimore, MD 21215-4340 · (410) 314-1030
Phone(410) 314-1030
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 10, 2020
Last NPPES UpdateSeptember 10, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1205468030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R196829
Also ListedRegistered Nurse · GerontologyTaxonomy 163WG0600X · License R196829 (MD)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License R196829 (MD)
4128 HAYWARD AVE, Baltimore, MD 21215
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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

Clementine Okie 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 ID4789113648
PECOS Enrollment IDI20250122003463
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21215 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 16

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

RACHEL NEUBERGER LCSW-C
Social Worker (Clinical)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (410) 732-0983
MARY AISLING MARTIN LMSW
Social Worker (Clinical)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (410) 314-1030
SARAH KENNEDY LMSW
Social Worker (Clinical)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (410) 591-7459
BRANDI MUNDIE LCPC
Counselor (Professional)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (410) 357-6599
SONIA PERRIER LMSW
Counselor (Mental Health)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (410) 314-1030
MR. ELIEZER SHULMAN LMSW-MASTER
Social Worker (Clinical)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (410) 241-6317
IDEAL OPTION, PLLC
Clinic/Center
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (877) 522-1275
MARYLAND WELLNESS LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (410) 314-1030

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 Clementine Okie's NPI number?

The NPI number for Clementine Okie is 1205468030. It was assigned to this individual provider in the NPPES registry on February 10, 2020.

Where is Clementine Okie located?

Clementine Okie practices at 4128 Hayward Ave, Baltimore, MD 21215. The listed phone number is (410) 314-1030.

What is Clementine Okie's specialty?

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

Is Clementine Okie enrolled in Medicare?

Yes. Clementine Okie 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 Clementine Okie was last updated on September 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.