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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: October 18, 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
Phone(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
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Other Names 1

Former Name (1)Miss Yewande Temitope Makanjuola

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

St. Joseph's Hospital & Medical Center
24 mi
Psychiatry
127 S BROADWAY
Yonkers, NY 10701
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Joseph's Hospital Yonkers
  • 233 clinicians in this Medicare group
NPI 1245204908 (914) 378-7342

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 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.

YEWANDE MIKOKU NP IN PSYCHIATRY PC
Nurse Practitioner (Psychiatric/Mental Health)
27 DIXON AVE
STATEN ISLAND, NY 10302
Richmond County (917) 841-6757

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 Yewande Mikoku's NPI number?

The NPI number for Yewande Mikoku is 1508079294. It was assigned to this individual provider in the NPPES registry on May 8, 2007. The provider is also known as Miss Yewande Temitope Makanjuola.

Where is Yewande Mikoku located?

Yewande Mikoku practices at 27 Dixon Ave, Staten Island, NY 10302. The listed phone number is (917) 841-6757.

What is Yewande Mikoku's specialty?

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

Is Yewande Mikoku enrolled in Medicare?

Yes. Yewande Mikoku is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Yewande Mikoku's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yewande Mikoku reassigns Medicare benefits to St. Joseph's Hospital & Medical Center (Yonkers, NY). 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 Yewande Mikoku's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yewande Mikoku accept?

Health plans from Blue Cross and Blue Shield of Texas list Yewande Mikoku 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 Yewande Mikoku was last updated on November 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.