Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Georgetta Okumagba, PMHNP

Individual provider Child & Adolescent Psychiatry Physician · NPI 1801775507

Georgetta Okumagba, PMHNP is a Nurse Practitioner in Boise, Idaho. Qualified in 2025, 1 year ago. Practices with Midvalley Healthcare PLLC, a 17-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2025
Specialties on file
3
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

9492 W Fairview Ave
Boise, ID 83704-8101
Phone: (208) 284-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 5771468 (ID)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 5771468 (ID)
Geriatric Psychiatry Physician Taxonomy 2084P0805X · Licence 5771468 (ID)

Record details

NPI number1801775507
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedAugust 28, 2025
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Midvalley Healthcare Pllc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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