Okechukwu Olisa, APRN-PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

825185 Issued in NV

Practice address

639 Isbell Rd Ste 380
Reno, NV 89509-4982

Phone

(775) 440-1520

NPI assigned

Nov 6, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Sierra Nevada Behavioral Healthcare LTD

  • Psychiatric/Mental Health Nurse Practitioner
  • Reno, NV
  • NPI 1932905155
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591401600000",
    "number": "1215264528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 ISBELL RD STE 380",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094982",
            "telephone_number": "775-440-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 ISBELL RD STE 380",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094982",
            "telephone_number": "775-440-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLISA",
        "first_name": "OKECHUKWU",
        "credential": "APRN-PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-06",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "825185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCE PRACTICE REGISTERED NURSE",
            "identifier": "825185",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "RN52945",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Patricia Olender, CRNA
• Kenneth Olesen
• Melinda Olguin
• Sandra Marie Olguin, DNP, APRN, FNP-BC
• Ashley Oliden, LCSW
• Isabella Oliva
• Michelle Olivares de Jesus
• Jasella Olivares, RN
• Ruben Olivares
• Joseph Lawrence Olivarez, PAC

• Psychiatric/Mental Health Nurse Practitioner in Reno, NV
• Providers in Reno, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.