Individual provider Active NPI

Georgenia Okere, NP-C

  • Family Nurse Practitioner
  • San Jacinto, CA
National Provider Identifier
1972063790
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010816 Issued in CA
Practice address
341 E Main St Ste 100
San Jacinto, CA 92583-4206
Phone
(951) 654-9367
NPI assigned
Mar 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95010816 CA Primary

Addresses

Primary practice location

341 E Main St Ste 100
San Jacinto, CA 92583-4206

Mailing address

6387 Emmerton LN
Highland, CA 92346-7760
Phone (909) 273-1127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210129001588 CA Practitioner - Nurse Practitioner 4789098989 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mommy and Me Medical Group, Inc. CurrentSince Jan 18, 2021 Accepting new patients
Reuben C Castillo, Professional Corporation Past Accepting new patients

Locations

498 W 4th St
Perris, CA 92570
Phone (951) 657-5441

1688 N Perris Blvd
Ste H4
Perris, CA 92571
Phone (951) 647-7876

4190 Chicago Ave
Riverside, CA 92507
Phone (951) 632-2106

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: georgenia.okere.p2@direct.mpmccorp.nextgenshare.com

Organizations & group practices 2

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1972063790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6387 EMMERTON LN",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923467760",
            "telephone_number": "909-273-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 E MAIN ST STE 100",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834206",
            "telephone_number": "951-654-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKERE",
        "first_name": "GEORGENIA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

Verify at the official NPI Registry.