Individual provider Active NPI

Akiko Okabe, AGACNP

  • Acute Care Nurse Practitioner
  • Lake St Louis, MO
National Provider Identifier
1073910162
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
2014035981 Issued in MO
Practice address
100 Medical PLZ
Lake St Louis, MO 63367-1366
Phone
(314) 317-0600
Fax
(314) 317-0606
NPI assigned
Dec 4, 2014
Last updated
Dec 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2014035981 MO Primary

Addresses

Primary practice location

100 Medical PLZ
Lake St Louis, MO 63367-1366

Mailing address

12101 Woodcrest Executive Dr Ste 210
Saint Louis, MO 63141-5047
Phone (314) 317-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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
I20150121001631 MO Practitioner - Nurse Practitioner 4789908724 Reassigns benefits to 3 organizations
I20230111002489 IL Practitioner - Nurse Practitioner 4789908724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

1 Saint Anthonys Way
Alton, IL 62002-4568
Phone (618) 465-2571

10 Hospital Dr
Saint Peters, MO 63376-1659
Phone (800) 501-9855

1015 Bowles Ave
Fenton, MO 63026-2394
Phone (636) 496-2000

2800 W 95TH St
Evergreen, IL 60805-2701
Phone (708) 422-6200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.63
Improvement activities
40
Cost
81.81

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014035981MOMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Illinois, P.C. CurrentSince Feb 25, 2025 Accepting new patients
Southeastern Physician Services PC CurrentSince Jul 1, 2016 Accepting new patients
Cep America - Illinois Hospitalists, LLP CurrentSince Jan 1, 2023 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Jan 1, 2023 Accepting new patients
Hospital Medicine Services of Tennessee PC CurrentSince Oct 1, 2019 Accepting new patients
Galen Inpatient Physicians PC. CurrentSince Jan 1, 2023 Accepting new patients
Inpatient Consultants of Illinois, P.C. CurrentSince Feb 25, 2025 Accepting new patients
Cep America-Illinois Hospitalists CurrentSince Jan 1, 2023 Accepting new patients
Cep America-Illinois Hospitalists, LLP Current Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1432 Southwest Blvd
Jefferson Cty, MO 65109
Phone (573) 632-5560

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522

Organizations & group practices 9

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1073910162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 WOODCREST EXECUTIVE DR STE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415047",
            "telephone_number": "314-317-0600",
            "fax_number": "314-317-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL PLZ",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671366",
            "telephone_number": "314-317-0600",
            "fax_number": "314-317-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKABE",
        "first_name": "AKIKO",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2014035981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake St Louis, MO

Sources for this page

Verify at the official NPI Registry.