IMMACULATE OKEYO – Psychiatric/Mental Health Nurse Practitioner, NPI 1538823133

IMMACULATE OKEYO is a healthcare provider. based in San antonio, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1056692 (TX). The NPI Number for IMMACULATE OKEYO is 1538823133

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
IMMACULATE OKEYO
NPI
1538823133
Phone
Not provided
Address
126 MAIN PLZ
Enumeration Date
29 October 2021
Last Update Date
8 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2543073997
Graduation Year
2021 (5 years ago)
PAC ID
9739578949
Group Practice PAC ID
4880097237
Professional Enrollment ID
I20211109002822
Address ID
TX767126499WO8416XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for IMMACULATE OKEYO

  • 126 MAIN PLZ

    SAN ANTONIO, TX 782052745

    Phone:

    Type: Mailing

  • 7111 BOSQUE BLVD STE 303

    WACO, TX 767104071

    Phone: (254) 307-3997

    Fax: (254) 300-9935

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2023-09-11 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($115).

Total Amount

$140

General + Research + Ownership

Payments

2

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-11-09

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
I20211109002822INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes682247$0
90792Psychiatric diagnostic evaluation with medical services204202$0
90833Psychotherapy with evaluation and management visit, 30 minutes12063$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes9959$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes4316$0
View full utilization report →

Insurance plans in this area (ZIP 78205)

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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: 4880097237View full group profile
NameSpecialtyState
Physician AssistantCA
Family PracticeTX
Nurse PractitionerNJ
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Does IMMACULATE OKEYO share an NPI with anyone else?
NPI numbers are unique to each provider or organization — IMMACULATE OKEYO uses 1538823133.
Can I rely on IMMACULATE OKEYO being an active provider?
As of the registry snapshot, IMMACULATE OKEYO is marked active.
What is IMMACULATE OKEYO best known for clinically?
Directory data describes IMMACULATE OKEYO with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does IMMACULATE OKEYO list a practice location?
Patients near San Antonio, Texas may find IMMACULATE OKEYO in results; validate coverage separately.
Why does IMMACULATE OKEYO have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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