GEORGETTA OKUMAGBA PMHNP
NPI 1801775507
Psychiatry & Neurology - Psychiatry in Boise, ID

Active since August 28, 2025PECOS EnrolledAccepts Medicare Assignment
9492 W FAIRVIEW AVE, BOISE, ID 83704(208) 284-7100 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Georgetta Okumagba Pmhnp NPPES

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

GEORGETTA OKUMAGBA PMHNP (NPI 1801775507) is an individual psychiatry provider in Boise, Idaho, licensed in Idaho (5771468) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1801775507
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameGEORGETTA OKUMAGBACredential: PMHNP
Location Address9492 W FAIRVIEW AVEBoise, ID 83704-8101
Mailing Address9492 W Fairview AveBoise, ID 83704-8101
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
NPI 1801775507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in ID · 5771468
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 5771468 (ID)
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License 5771468 (ID)
9492 W FAIRVIEW AVE, Boise, ID 83704

Other Names 1

Professional Name (2)Georgetta Okumagba Pmhnp

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

Georgetta Okumagba Pmhnp 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 ID1153810346
PECOS Enrollment IDI20251028004088
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 83704 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
$160.17 typical visit price
range $52.44 – $160.17
Typical copayment $40.04 (range $13.11 – $40.04)
Most-billed visit code 99205
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 15

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

Nurse Practitioner (Family)
9492 W FAIRVIEW AVE
BOISE, ID 83704
Non-emergency Medical Transport (VAN)
9492 W FAIRVIEW AVE
BOISE, ID 83704
Community/Behavioral Health
9492 W FAIRVIEW AVE
BOISE, ID 83704
Community/Behavioral Health
9492 W FAIRVIEW AVE
BOISE, ID 83704
Clinic/Center (Health Service)
9492 W FAIRVIEW AVE
BOISE, ID 83704
Substance Abuse Rehabilitation Facility
9492 W FAIRVIEW AVE
BOISE, ID 83704
Social Worker
9492 W FAIRVIEW AVE
BOISE, ID 83704
In Home Supportive Care
9492 W FAIRVIEW AVE
BOISE, ID 83704

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 Georgetta Okumagba's NPI number?

The NPI number for Georgetta Okumagba is 1801775507. It was assigned to this individual provider in the NPPES registry on August 28, 2025. The provider is also known as Georgetta Okumagba Pmhnp.

Where is Georgetta Okumagba located?

Georgetta Okumagba practices at 9492 W Fairview Ave, Boise, ID 83704. The listed phone number is (208) 284-7100.

What is Georgetta Okumagba's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Georgetta Okumagba enrolled in Medicare?

Yes. Georgetta Okumagba 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.

When was this NPI record last updated?

The NPPES record for Georgetta Okumagba was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.