MRS. YEWANDE TEMITOPE MIKOKU NURSE PRACTITIONER
NPI 1508079294
Nurse Practitioner in Staten Island, NY

Active since May 08, 2007PECOS Enrolled
27 DIXON AVE, STATEN ISLAND, NY 10302(917) 841-6757 Get Directions Write a Review

NPPES record last updated: November 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 25, 2022, Aug 26, 2021 (2 updates tracked since 2021).

About Mrs. Yewande Temitope Mikoku Nurse Practitioner NPPES

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

MRS. YEWANDE TEMITOPE MIKOKU NURSE PRACTITIONER (NPI 1508079294) is an individual nurse practitioner in Staten Island, New York, licensed in New York (403469) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508079294
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. YEWANDE TEMITOPE MIKOKUCredential: NURSE PRACTITIONER
Location Address27 DIXON AVEStaten Island, NY 10302-1938
Mailing Address27 Dixon AveStaten Island, NY 10302-1938 · (917) 841-6757
Sole ProprietorYes
Enumeration DateMay 8, 2007
Last NPPES UpdateNovember 25, 20222 updates tracked since enumeration
NPPES CertifiedNovember 25, 2022
NPI 1508079294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NY · 403469
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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 559805-1 (NY)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 403469 (NY)
27 DIXON AVE, Staten Island, NY 10302

Other Names 1

Former Name (1)Miss Yewande Temitope Makanjuola

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Yewande Temitope Mikoku Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10302 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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

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

Nurse Practitioner (Psychiatric/Mental Health)
27 DIXON AVE
STATEN ISLAND, NY 10302

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508079294, enumerated as an "individual" on May 08, 2007.

The provider is located at 27 DIXON AVE STATEN ISLAND, NY 10302 and the phone number is (917) 841-6757.

Nurse Practitioner with taxonomy code 363L00000X.