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MR. EMMANUEL AJIBOLA OKEOWO CRNA
NPI 1245109909
Nurse Anesthetist, Certified Registered in Albuquerque, NM

Active since October 31, 2025Accepts Medicare Assignment
6709 ACADEMY RD NE STE A, ALBUQUERQUE, NM 87109(469) 767-1828 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Emmanuel Ajibola Okeowo Crna NPPES

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

MR. EMMANUEL AJIBOLA OKEOWO CRNA (NPI 1245109909) is an individual nurse anesthetist, certified registered in Albuquerque, New Mexico, licensed in New Mexico (89757) and active in the NPI registry since October 2025. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1245109909
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. EMMANUEL AJIBOLA OKEOWOCredential: CRNA
Location Address6709 ACADEMY RD NE STE AAlbuquerque, NM 87109-3363
Mailing Address6709 Academy Rd Ne Ste AAlbuquerque, NM 87109-3363 · (469) 767-1828
Phone(469) 767-1828
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateOctober 31, 2025
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1245109909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NM · 89757
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
6709 ACADEMY RD NE STE A, Albuquerque, NM 87109
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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

Mr. Emmanuel Ajibola Okeowo Crna 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 ID5991262750
PECOS Enrollment IDI20260811005109

Medicare Billing Reassignment

Medicare enrollment records show Emmanuel Okeowo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Main Street Anesthesia Of New Mexico, LLC
5.7 mi
Anesthesiology
601 DR MARTIN LUTHER KING JR AVE NE
Albuquerque, NM 87102
  • Reassigned Medicare billing, New Mexico enrollment
  • 383 clinicians in this Medicare group
NPI 1275010985 (505) 727-8000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
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 20

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

KYLE RODGERS CRNA
Nurse Anesthetist, Certified Registered
6709 ACADEMY RD NE STE A
ALBUQUERQUE, NM 87109
Bernalillo County (505) 308-3145
LAURA BAUDERS CRNA
Nurse Anesthetist, Certified Registered
6709 ACADEMY RD NE STE A
ALBUQUERQUE, NM 87109
Bernalillo County (505) 308-3145
RACHEL LAUREN GOODWYN ACNPC-AG
Nurse Anesthetist, Certified Registered
6709 ACADEMY RD NE STE A
ALBUQUERQUE, NM 87109
Bernalillo County (505) 308-3145
JESSE MARC LOVING CRNA
Nurse Anesthetist, Certified Registered
6709 ACADEMY RD NE STE A
ALBUQUERQUE, NM 87109
Bernalillo County (817) 764-7769
MELISSA SUE REMMERT DNAP, CRNA
Nurse Anesthetist, Certified Registered
6709 ACADEMY RD NE STE A
ALBUQUERQUE, NM 87109
Bernalillo County (817) 764-7769
BARBARA LYNNE WERTZ CRNA
Nurse Anesthetist, Certified Registered
6709 ACADEMY RD NE STE A
ALBUQUERQUE, NM 87109
Bernalillo County (505) 308-3145
ERIKA REAKES
Nurse Anesthetist, Certified Registered
6709 ACADEMY RD NE STE A
ALBUQUERQUE, NM 87109
Bernalillo County (505) 308-3145
AUSTIN J MARSHALL
Student in an Organized Health Care Education/Training Program
6709 ACADEMY RD NE STE A
ALBUQUERQUE, NM 87109
Bernalillo County (505) 308-3145

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 Emmanuel Okeowo's NPI number?

The NPI number for Emmanuel Okeowo is 1245109909. It was assigned to this individual provider in the NPPES registry on October 31, 2025.

Where is Emmanuel Okeowo located?

Emmanuel Okeowo practices at 6709 Academy Rd NE Ste A, Albuquerque, NM 87109. The listed phone number is (469) 767-1828.

What is Emmanuel Okeowo's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Emmanuel Okeowo enrolled in Medicare?

Yes. Emmanuel Okeowo 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 organization bills Medicare for Emmanuel Okeowo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emmanuel Okeowo reassigns Medicare benefits to Main Street Anesthesia Of New Mexico, LLC (Albuquerque, NM). The 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 Emmanuel Okeowo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Emmanuel Okeowo was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.