MODUPE MARY OKONOFUA PMHNP-BC, FNP-C
NPI 1215325535
Nurse Practitioner - Psychiatric/Mental Health in Colorado Springs, CO

Active since January 09, 2015PECOS EnrolledAccepts Medicare Assignment
3585 VAN TEYLINGEN DR STE D, COLORADO SPRINGS, CO 80917(719) 413-5005(719) 413-5006 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 13, 2025, Oct 28, 2019 (2 updates tracked since 2019).

About Modupe Mary Okonofua Pmhnp-bc, Fnp-c NPPES

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

MODUPE MARY OKONOFUA PMHNP-BC, FNP-C (NPI 1215325535) is an individual psychiatric/mental health provider in Colorado Springs, Colorado, licensed in Colorado (0001591-C-NP) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215325535
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMODUPE MARY OKONOFUACredential: PMHNP-BC, FNP-C
Location Address3585 VAN TEYLINGEN DR STE DColorado Springs, CO 80917-4872
Mailing Address3585 Van Teylingen Dr Ste DColorado Springs, CO 80917-4872 · (719) 413-5005 · Fax (719) 413-5006
Fax(719) 413-5006
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 9, 2015
Last NPPES UpdateJune 13, 20252 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1215325535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CO · 0001591-C-NP
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0001591-C-NP (CO)
3585 VAN TEYLINGEN DR STE D, Colorado Springs, CO 80917

Accepted 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 Mary Okonofua Pmhnp-bc, Fnp-c 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 ID2466764758
PECOS Enrollment IDI20191204000130
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

6

Medicare enrollment records show Modupe Okonofua reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
3585 VAN TEYLINGEN DR STE D
Colorado Springs, CO 80917
  • Reassigned Medicare billing, Colorado enrollment
  • 2 clinicians in this Medicare group
Psychiatric Hospital
2135 SOUTHGATE RD
Colorado Springs, CO 80906
  • Reassigned Medicare billing, Colorado enrollment
  • 24 clinicians in this Medicare group
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Colorado enrollment
  • 940 clinicians in this Medicare group
Psychiatry
3600 S COOPER ST, #100
Arlington, TX 76015
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Tri City Psychiatric Services PA
  • 8 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
110 S 12TH ST
Waco, TX 76701
  • Reassigned Medicare billing, Texas enrollment
  • 172 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Colorado enrollment
  • 160 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services12 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
18 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80917 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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 2

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

Counselor (Mental Health)
3585 VAN TEYLINGEN DR STE D
COLORADO SPRINGS, CO 80917
Clinic/Center (Mental Health (Including Community Mental Health Center))
3585 VAN TEYLINGEN DR STE D
COLORADO SPRINGS, CO 80917

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 Modupe Okonofua's NPI number?

The NPI number for Modupe Okonofua is 1215325535. It was assigned to this individual provider in the NPPES registry on January 9, 2015.

Where is Modupe Okonofua located?

Modupe Okonofua practices at 3585 Van Teylingen Dr Ste D, Colorado Springs, CO 80917. The listed phone number is (719) 413-5005.

What is Modupe Okonofua's specialty?

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

Is Modupe Okonofua enrolled in Medicare?

Yes. Modupe Okonofua 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.

Which organizations bill Medicare for Modupe Okonofua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Modupe Okonofua reassigns Medicare benefits to 6 organizations: Diamond Global Healthcare, Inc (Colorado Springs, CO), Cedar Springs Hospital, Inc (Colorado Springs, CO), Sondermind Provider Network LLC (Denver, CO), Tri City Psychiatric Services, P.A. (Arlington, TX), Heart Of Texas Region Mhmr Center (Waco, TX) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Modupe Okonofua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Modupe Okonofua accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna HealthCare of Arizona, Inc, Cigna Healthcare, Oscar Insurance Company and Select Health and 2 other insurers list Modupe Okonofua 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 Modupe Okonofua was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.