Individual provider Active NPI

Akueba Minasseh Akakpo

  • Psychiatric/Mental Health Nurse Practitioner
  • Johnston, IA
National Provider Identifier
1740993757
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G172409 Issued in IA
Practice address
10500 Catalina Dr
Johnston, IA 50131-3129
Phone
(347) 891-9063
NPI assigned
Jan 4, 2023
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X G172409 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G172409 IA Primary

Addresses

Primary practice location

10500 Catalina Dr
Johnston, IA 50131-3129

Mailing address

10500 Catalina Dr
Johnston, IA 50131-3129
Phone (347) 891-9063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20230215002095 IA Practitioner - Nurse Practitioner 3072985290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G172409IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Institute Single Specialty CurrentSince Jun 16, 2024 Accepting new patients
Akueba Minasseh Akakpo Sittu Single Specialty CurrentSince Feb 25, 2024 Accepting new patients
Mental Health Institute CurrentSince Jun 16, 2024 Accepting new patients
Med Management Associates of Iowa PC Single Specialty CurrentSince Feb 13, 2023 Accepting new patients

Locations

1555 Hull Ave
Des Moines, IA 50316
Phone (515) 262-5639

2277 Iowa Ave
Independence, IA 50644
Phone (319) 334-2583

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

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": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1740993757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 CATALINA DR",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501313129",
            "telephone_number": "347-891-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 CATALINA DR",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501313129",
            "telephone_number": "347-891-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKAKPO",
        "first_name": "AKUEBA",
        "middle_name": "MINASSEH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "G172409",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G172409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

Verify at the official NPI Registry.