Bolatito Okougbo, NP
NPI 1063095503 · Psychiatric/Mental Health Nurse Practitioner · Avondale, AZ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bolatito Okougbo, NP is a Psychiatric/Mental Health Nurse Practitioner provider in Avondale, AZ (NPI 1063095503).
Provider details
- NPI number
- 1063095503
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 257217 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
32 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 32 | $55 |
Typical Medicare-allowed amounts for these services range $55–$55 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-03
- Last updated
- 2021-05-03
- Certified
- 2021-04-30
Frequently asked questions
- What is Bolatito Okougbo's NPI number?
- Bolatito Okougbo's National Provider Identifier (NPI) is 1063095503, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bolatito Okougbo's specialty?
- Bolatito Okougbo is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Bolatito Okougbo located?
- Bolatito Okougbo's practice location on file with NPPES is 10926 W Ivory Ln, Avondale, AZ 85392-4025.
- What is Bolatito Okougbo's phone number?
- The practice phone number listed in the NPPES registry for Bolatito Okougbo is (623) 977-7644.
- Does Bolatito Okougbo accept Medicare?
- Bolatito Okougbo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bolatito Okougbo's NPI active?
- Yes — Bolatito Okougbo's NPI (1063095503) is active in the NPPES registry as of the last update on 2021-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.