ANTOINETTE POUOKAM-LONGMO
NPI 1770144370
Nurse Practitioner - Psychiatric/Mental Health in Southgate, MI

Q: What is Antoinette Pouokam-longmo's NPI number?

The NPI number for Antoinette Pouokam-longmo is 1770144370. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Q: What is Antoinette Pouokam-longmo's specialty?

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

Active since June 25, 2019PECOS EnrolledAccepts Medicare Assignment

14799 DIX TOLEDO RD, SOUTHGATE, MI 48195(877) 299-1655 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2023, Mar 24, 2023, Feb 14, 2023 (3 updates tracked since 2023).

On this page

About Antoinette Pouokam-longmo NPPES

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

ANTOINETTE POUOKAM-LONGMO (NPI 1770144370) is an individual psychiatric/mental health provider in Southgate, Michigan, licensed in Michigan (4704281627) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1770144370

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameANTOINETTE POUOKAM-LONGMO

Location Address14799 DIX TOLEDO RDSouthgate, MI 48195-2507

Mailing Address14799 Dix Toledo RdSouthgate, MI 48195-2507 · (877) 299-1655

Phone(877) 299-1655

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 25, 2019

Last NPPES UpdateDecember 12, 20233 updates tracked since enumeration

NPPES CertifiedDecember 12, 2023

✔ NPI 1770144370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MI · 4704281627

14799 DIX TOLEDO RD, Southgate, MI 48195

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Antoinette Pouokam-longmo 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 ID9830550516

PECOS Enrollment IDI20230727001570

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 48195 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 20

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

MS. CELESTE PATRICIA ALLEN SST

Social Worker