DR. KASIEMOBI BERNICE OKONKWO MD
NPI 1891365391
Family Medicine in Alton, IL

Q: What is Kasiemobi Okonkwo's NPI number?

The NPI number for Kasiemobi Okonkwo is 1891365391. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Q: What is Kasiemobi Okonkwo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kasiemobi Okonkwo was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 28, 2021PECOS EnrolledAccepts Medicare Assignment

4 MEMORIAL DR STE 210, ALTON, IL 62002(618) 463-5905(618) 463-5935 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2025, Aug 14, 2024, Aug 7, 2024 and 1 more (4 updates tracked since 2021).

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About Dr. Kasiemobi Bernice Okonkwo Md NPPES

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

DR. KASIEMOBI BERNICE OKONKWO MD (NPI 1891365391) is an individual family medicine provider in Alton, Illinois, licensed in Illinois (036171380) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and maintains a secondary practice location in Alton.

NPPES Registry Identity

NPI1891365391

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KASIEMOBI BERNICE OKONKWOCredential: MD

Location Address4 MEMORIAL DR STE 210Alton, IL 62002-6704

Mailing Address4 Memorial Dr Ste 210Alton, IL 62002-6704 · (618) 463-5905 · Fax (618) 463-5935

Phone(618) 463-5905

Fax(618) 463-5935

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 28, 2021

Last NPPES UpdateFebruary 18, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2026

✔ NPI 1891365391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036171380✔ Licensed in TX · BP10077024

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License 036171380 (IL)

4 MEMORIAL DR STE 210, Alton, IL 62002

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Secondary Practice Location 1

Location 11 Memorial DrAlton, IL 62002-6722 · Phone (618) 463-7240

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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

Dr. Kasiemobi Bernice Okonkwo Md 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 ID8628516036

PECOS Enrollment IDI20240816001317, I20240827001988

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140002

LocationOne Memorial DriveAlton, IL 62002 · Madison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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 15

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

LEE A TARDINO MSN ANP

Nurse Practitioner (Adult Health)