Individual provider Active NPI

Jerris-Stephanie Erinma Okonkwo, D.O.

  • Neurology Physician
  • Des Moines, IA
National Provider Identifier
1710418959
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DO-06304 Issued in IA
Practice address
1221 Pleasant St Ste 300
Des Moines, IA 50309-1426
Phone
(515) 241-4200
NPI assigned
Mar 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OS025866 PA
Neurology Physician 2084N0400X DO-06304 IA Primary

Addresses

Primary practice location

1221 Pleasant St Ste 300
Des Moines, IA 50309-1426

Mailing address

1221 Pleasant St Ste 300
Des Moines, IA 50309-1426
Phone (508) 334-1000

Other identifiers 1

IdentifierTypeStateIssuer
15837436OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, IA, MN, GA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230309002933 MA Practitioner - Neurology 4284007394 Reassigns benefits to 2 organizations
I20230419001033 IA Practitioner - Neurology 4284007394 Reassigns benefits to 1 organization
I20240712001631 MN Practitioner - Neurology 4284007394 Reassigns benefits to 1 organization
I20250116003408 GA Practitioner - Neurology 4284007394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRH Physician Practices, LLCGroup PAC ID 5193727964, 38 clinicians
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

200 Doctors Dr
Suite K
Douglas, GA 31533-2202
Phone (912) 384-4024

745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 400-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
010648AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health of Northern Minnesota CurrentSince Apr 19, 2024 Accepting new patients
Piedmont Providers LLC CurrentSince Dec 1, 2024 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Apr 19, 2024 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Jun 9, 2023 Accepting new patients
Physicians of Cape Cod Hospital CurrentSince Mar 19, 2023 Accepting new patients
CRH Physician Practices, LLC CurrentSince Dec 22, 2025 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Central Iowa Hospital Corporation CurrentSince Apr 17, 2023 Accepting new patients
Fairview Hospital CurrentSince Jun 9, 2023 Accepting new patients
Central Iowa Hospital Corporation CurrentSince Apr 17, 2023 Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

200 Doctors Dr
Ste K
Douglas, GA 31533
Phone (800) 659-5507

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

1508 Tebeau St
Waycross, GA 31501
Phone (912) 383-6575

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

1221 Pleasant St
Ste 300
Des Moines, IA 50309
Phone (515) 241-4200

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

Interoperability endpoints

  • Direct secure messaging: jerris-stephanie.okonkwo.1@9964.direct.athenahealth.com
  • Direct secure messaging: jerris-stephanieokonkwo@bfs.medalliesdirect.net
  • Direct secure messaging: jokonkwo3505058@direct.trinity-health.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1710418959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 PLEASANT ST STE 300",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091426",
            "telephone_number": "508-334-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PLEASANT ST STE 300",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091426",
            "telephone_number": "515-241-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONKWO",
        "first_name": "JERRIS-STEPHANIE",
        "middle_name": "ERINMA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "OS025866",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IA",
            "license": "DO-06304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15837436",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.