Individual provider Active NPI

Nnemeka A Okpala, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, RI
National Provider Identifier
1003373754
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2336424 Issued in MA
Practice address
10 Dorrance St Ste 700
Providence, RI 02903-2014
Phone
(617) 419-0482
NPI assigned
Feb 28, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2336424 MA Primary

Addresses

Primary practice location

10 Dorrance St Ste 700
Providence, RI 02903-2014

Mailing address

11 Freeman St Ste 8
Stoughton, MA 02072-2699
Phone (617) 922-4626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231211000137 MA Practitioner - Nurse Practitioner 7012366552 Reassigns benefits to 4 organizations
I20251217002504 RI Practitioner - Nurse Practitioner 7012366552 Practice locations: Providence, RI

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians

Practice addresses (Care Compare)

126 Cove St
Fall River, MA 02720-1306
Phone (508) 678-0041

287 Washington St
Suite 61036
South Attleboro, MA 02703-5537
Phone (617) 419-0482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raymex Wellness LLC Psychiatric/Mental Health CurrentSince Aug 1, 2024 Accepting new patients
Starr Psychiatric Center Inc CurrentSince Oct 21, 2023 Accepting new patients
Hri Hospital, Inc CurrentSince Jul 22, 2024 Accepting new patients

Locations

529 Pearl St
Brockton, MA 02301
Phone (508) 580-1616

227 Babcock St
Brookline, MA 02446
Phone (617) 731-3200

287 Washington St
Ste 61036
South Attleboro, MA 02703
Phone (617) 419-0482

11 Freeman St
Ste 8
Stoughton, MA 02072

10 Dorrance St
Ste 700
Providence, RI 02903
Phone (401) 200-8242

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1003373754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FREEMAN ST STE 8",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020722699",
            "telephone_number": "617-922-4626",
            "fax_number": "857-675-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DORRANCE ST STE 700",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029032014",
            "telephone_number": "617-419-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPALA",
        "first_name": "NNEMEKA",
        "middle_name": "A",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-28",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2336424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.