DR. PEACE ISHMAEL BOSIRE OKIENYA (DNP, APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003686858
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
Provider Addresses for DR. PEACE ISHMAEL BOSIRE OKIENYA (DNP, APRN, PMHNP-BC)
621 AVENUE G
DALLAS, TX 752033901
Phone: (214) 866-9270
Type: Mailing
2911 TURTLE CREEK BLVD STE 300
DALLAS, TX 752196243
Phone: (214) 518-2035
Fax: (972) 803-3431
Type: Location
3 Sugar Creek Center Blvd Ste 100
Sugar Land, TX 774782211
Phone: (214) 518-2035
Fax: (972) 803-3431
Type: Location
1250 S Capital Of Texas Hwy Ste 400
West Lake Hills, TX 787466446
Phone: (214) 518-2035
Fax: (972) 803-3431
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240403001474 | I | Nurse Practitioner | TX | TBD |
| I20251210004300 | I | Nurse Practitioner | NM | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75203)
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