OKWUCHUKWU MICHAEL OKPALAEZE (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1215646583

OKWUCHUKWU MICHAEL OKPALAEZE (PMHNP-BC) is a healthcare provider. based in Cedar park, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 1099050 (TX). The NPI Number for OKWUCHUKWU MICHAEL OKPALAEZE (PMHNP-BC) is 1215646583

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
OKWUCHUKWU MICHAEL OKPALAEZE (PMHNP-BC)
NPI
1215646583
Phone
(512) 593-7070
Address
12151 W PARMER LN STE 202
Enumeration Date
16 November 2022
Last Update Date
17 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5125937070
Graduation Year
2022 (4 years ago)
PAC ID
4587010798
Group Practice PAC ID
8921346792
Professional Enrollment ID
I20231024003656
Address ID
TX786132171CE12151LNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for OKWUCHUKWU MICHAEL OKPALAEZE (PMHNP-BC)

  • 12151 W PARMER LN STE 202

    CEDAR PARK, TX 786132171

    Phone: (512) 593-7070

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $464.

Total Amount is formed as General ($464) + Research ($0) + Ownership ($0) = $464.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($231).

Total Amount

$464

General + Research + Ownership

Payments

5

Total payment records

General Amount

$464

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-10-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231024003656INurse PractitionerTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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 78613)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921346792View full group profile
NameSpecialtyState
Clinical Social WorkerTX
Clinical Social WorkerTX
Mental Health CounselorTX
Nurse PractitionerTX
Mental Health CounselorTX
Mental Health CounselorTX
Mental Health CounselorTX
Nurse PractitionerTX
Certified Clinical Nurse Specialist (Cns)TX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What unique ID ties claims to OKWUCHUKWU MICHAEL OKPALAEZE (PMHNP-BC)?
NPI 1215646583 is assigned to OKWUCHUKWU MICHAEL OKPALAEZE (PMHNP-BC) under the national enumeration system.
Is OKWUCHUKWU MICHAEL OKPALAEZE (PMHNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is OKWUCHUKWU MICHAEL OKPALAEZE (PMHNP-BC)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for OKWUCHUKWU MICHAEL OKPALAEZE (PMHNP-BC). Clinical services aligned with this taxonomy classification.
What location shows for OKWUCHUKWU MICHAEL OKPALAEZE (PMHNP-BC)?
We surface Cedar Park, Texas for OKWUCHUKWU MICHAEL OKPALAEZE (PMHNP-BC) based on available NPPES addresses.
What if Cedar Park, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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