Individual provider Active NPI

Adebisi Okieimen, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mexia, TX
National Provider Identifier
1366060204
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1007038 Issued in TX
Practice address
540 Chapel Dr
Mexia, TX 76667-3490
Phone
(281) 975-7760
NPI assigned
Jul 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 882665 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1007038 TX Primary

Addresses

Primary practice location

540 Chapel Dr
Mexia, TX 76667-3490

Mailing address

540 Chapel Dr
Mexia, TX 76667-3490
Phone (281) 975-7760

Other practice location 1

2100 Preston St
Richmond, TX 77469-1419
Phone (281) 334-4352

Other practice location 2

9401 Southwest Fwy
Houston, TX 77074-1407
Phone (713) 970-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210521000513 TX Practitioner - Nurse Practitioner 6901205087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
78.41
Improvement activities
40
Cost
77.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
882665TXMDPsychiatric/Mental Health Registered Nurse
1007038TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince May 1, 2021 Accepting new patients
Health and Human Services Commission CurrentSince May 1, 2021 Accepting new patients
Arise in New You PLLC Psychiatric/Mental Health CurrentSince May 24, 2026 Accepting new patients
Health and Human Services Commission Current Accepting new patients

Locations

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

540 Chapel Dr
Mexia, TX 76667
Phone (254) 562-1750

2100 Preston St
Richmond, TX 77469
Phone (281) 232-2075

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1366060204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 CHAPEL DR",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "766673490",
            "telephone_number": "281-975-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 CHAPEL DR",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "766673490",
            "telephone_number": "281-975-7760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Preston St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774691419",
            "country_code": "US",
            "telephone_number": "281-334-4352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9401 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741407",
            "country_code": "US",
            "telephone_number": "713-970-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKIEIMEN",
        "first_name": "ADEBISI",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "882665",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1007038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexia, TX

Sources for this page

Verify at the official NPI Registry.