Individual provider Active NPI

Ijeoma Ofokansi, DNP, PMHNP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1083149447
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9212488 Issued in FL
Practice address
7208 W Sand Lake Rd Ste 305
Orlando, FL 32819-5279
Phone
(407) 410-8621
NPI assigned
Apr 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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 ARNP9212488 FL Primary

Addresses

Primary practice location

7208 W Sand Lake Rd Ste 305
Orlando, FL 32819-5279

Mailing address

13506 Summerport Village Pkwy Ste 320
Windermere, FL 34786-7366

Other names 1

  • Ijeoma Ofokansi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211202000149 FL Practitioner - Nurse Practitioner 5799175980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1549 SW 13TH St
Gainesville, FL 32608-1113
Phone (352) 374-5600

4300 SW 13TH St
Gainesville, FL 32608-4006
Phone 35237456008210

4310 SW 13TH St
Gainesville, FL 32608-4006
Phone (352) 374-5600

4316 SW 13TH St
Gainesville, FL 32608-4006
Phone (352) 374-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9212488FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Behavioral Healthcare, Inc. CurrentSince Nov 11, 2021 Accepting new patients
Meridian Behavioral Healthcare, Inc. CurrentSince Nov 11, 2021 Accepting new patients
Alpha Life Mental and Wellness Center Current Accepting new patients

Locations

4300 SW 13th St
Gainesville, FL 32608

13506 Summerport Village Pkwy
Windermere, FL 34786
Phone (407) 905-4997

Organizations & group practices 3

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": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1083149447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13506 SUMMERPORT VILLAGE PKWY STE 320",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 W SAND LAKE RD STE 305",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195279",
            "telephone_number": "407-410-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFOKANSI",
        "first_name": "IJEOMA",
        "name_prefix": "Mrs.",
        "credential": "DNP, PMHNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9212488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IJEOMA",
            "last_name": "OFOKANSI",
            "credential": "DNP, PMHNP, APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.