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DR. OCTAVIA INGRAM DNP, FNP-C, PMHNP-BC
NPI 1619459518
Nurse Practitioner - Psychiatric/Mental Health in Northport, AL

Active since September 06, 2018PECOS Enrolled
13729 TAB DR, NORTHPORT, AL 35475(929) 949-3134(929) 929-1476 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2022, Jan 11, 2022, Sep 6, 2018 (3 updates tracked since 2018).

About Dr. Octavia Ingram Dnp, Fnp-c, Pmhnp-bc NPPES

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

DR. OCTAVIA INGRAM DNP, FNP-C, PMHNP-BC (NPI 1619459518) is an individual psychiatric/mental health provider in Northport, Alabama, licensed in New York (403475) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619459518
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. OCTAVIA INGRAMCredential: DNP, FNP-C, PMHNP-BC
Location Address13729 TAB DRNorthport, AL 35475-1694
Mailing Address13729 Tab DrNorthport, AL 35475-1694 · (662) 312-2258
Phone(929) 949-3134
Fax(929) 929-1476
Sole ProprietorNo
Enumeration DateSeptember 6, 2018
Last NPPES UpdateAugust 16, 20223 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
✔ NPI 1619459518 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 NY · 403475
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1-142018 (AL)
13729 TAB DR, Northport, AL 35475
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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 (PECOS)

Dr. Octavia Ingram Dnp, Fnp-c, Pmhnp-bc 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 35475 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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 Octavia Ingram's NPI number?

The NPI number for Octavia Ingram is 1619459518. It was assigned to this individual provider in the NPPES registry on September 6, 2018.

Where is Octavia Ingram located?

Octavia Ingram practices at 13729 Tab Dr, Northport, AL 35475. The listed phone number is (929) 949-3134.

What is Octavia Ingram's specialty?

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

Is Octavia Ingram enrolled in Medicare?

Yes. Octavia Ingram is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Octavia Ingram was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.