IVIE IYORE OKUNBOR
NPI 1871330332
Nurse Practitioner - Psychiatric/Mental Health in Bridgeport, CT

Active since July 11, 2024PECOS EnrolledAccepts Medicare Assignment
80 HARRAL AVE, BRIDGEPORT, CT 06604(347) 833-9965(472) 212-2656 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 20, 2025, Jul 11, 2024 (2 updates tracked since 2024).

About Ivie Iyore Okunbor NPPES

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

IVIE IYORE OKUNBOR (NPI 1871330332) is an individual psychiatric/mental health provider in Bridgeport, Connecticut, licensed in Connecticut (13455) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1871330332
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameIVIE IYORE OKUNBOR
Location Address80 HARRAL AVEBridgeport, CT 06604-3001
Mailing Address80 Harral AveBridgeport, CT 06604-3001 · (347) 833-9965
Fax(472) 212-2656
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 11, 2024
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1871330332 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 CT · 13455
80 HARRAL AVE, Bridgeport, CT 06604

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ivie Iyore Okunbor 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 ID7214463322
PECOS Enrollment IDI20241212003473
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 Reassignments

3

Medicare enrollment records show Ivie Okunbor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
475 CLINTON AVE
Bridgeport, CT 06605
  • Reassigned Medicare billing, Connecticut enrollment
  • 10 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
5 LINSLEY STREET
North Haven, CT 06473
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Town Of North Haven
  • 8 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Connecticut enrollment
  • 613 clinicians in this Medicare group

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 06604 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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)
80 HARRAL AVE
BRIDGEPORT, CT 06604

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 Ivie Okunbor's NPI number?

The NPI number for Ivie Okunbor is 1871330332. It was assigned to this individual provider in the NPPES registry on July 11, 2024.

Where is Ivie Okunbor located?

Ivie Okunbor practices at 80 Harral Ave, Bridgeport, CT 06604. The listed phone number is (347) 833-9965.

What is Ivie Okunbor's specialty?

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

Is Ivie Okunbor enrolled in Medicare?

Yes. Ivie Okunbor 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.

Which organizations bill Medicare for Ivie Okunbor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivie Okunbor reassigns Medicare benefits to 3 organizations: Lifebridge Community Services, Inc. (Bridgeport, CT), Town Of North Haven Community Services (North Haven, CT) and Grow Healthcare Group PA (Miami, FL). Each 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 Ivie Okunbor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ivie Okunbor accept?

Health plans from Anthem Blue Cross and Blue Shield list Ivie Okunbor 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 Ivie Okunbor was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.