ANTOINETTE POUOKAM-LONGMO
NPI 1770144370
Nurse Practitioner - Psychiatric/Mental Health in Southgate, MI
NPI Status: Active since June 25, 2019
Contact Information
14799 DIX TOLEDO RD
SOUTHGATE, MI
ZIP 48195
Phone: (877) 299-1655
- Individual
- Female
- Nurse Practitioner
- Psychiatric/Mental Health
- Accepts Insurance
- PECOS Enrolled
About ANTOINETTE POUOKAM-LONGMO
This page provides the complete NPI Profile along with additional information for Antoinette Pouokam-longmo, a provider established in Southgate, Michigan with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1770144370 assigned on June 2019. The practitioner's primary taxonomy code is 363LP0808X with license number 4704281627 (MI). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1770144370
- Provider Name
- ANTOINETTE POUOKAM-LONGMO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 14799 DIX TOLEDO RD SOUTHGATE, MI 48195
- Location Phone
- (877) 299-1655
- Mailing Address
- 14799 DIX TOLEDO RD SOUTHGATE, MI 48195
- Mailing Phone
- (877) 299-1655
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-25-2019
- Last Update Date
- 12-12-2023
- Code Navigator
A nurse practitioner (NP) like Antoinette Pouokam-longmo is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 4704281627
- License State
- MI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple PCP Saver - EPO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (No Referrals) - HMO
- UHC Bronze Value+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage (No Referrals) - HMO
- UHC Silver Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value (No Referrals) - HMO
- UHC Silver Value+ (Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Antoinette Pouokam-longmo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48195 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.76
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.69
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.35
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $25.58
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for ANTOINETTE POUOKAM-LONGMO
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 7 | 0 | 1 | 4 | 4 | 3 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 2 | 4 | 8 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 2 + 4 + 8 + 3 + 1 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1770144370 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1629361266 | MICHELE MARIE LEGLEITNER B.A., S.S.T. Individual | Social Worker | 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 (313) 850-4503 |
| 1396038618 | REBECCA A REED LMSW, MSW Individual | Social Worker (Clinical) | 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 (734) 324-8326 |
| 1407149586 | MRS. ABIGAIL ADELINE WILSON SST, CADC Individual | Counselor (Addiction (Substance Use Disorder)) | 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 (734) 324-8326 |
| 1023394749 | NICOLE KATHRYN HESS B.A. S.S.T. Individual | Social Worker | 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 (248) 210-6615 |
| 1891071569 | MARSHA BURKS BA, LBSW Individual | Social Worker | 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 (734) 324-8326 |
| 1003192725 | MS. CELESTE PATRICIA ALLEN SST Individual | Social Worker | 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 (734) 324-8326 |
| 1396021796 | MS. JODI BARNHART BSRSST Individual | Social Worker | 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 (734) 324-8326 |
| 1538445952 | SHERELLE J PALMER LLMSW Individual | Community/Behavioral Health | 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 (734) 324-8326 |
| 1942560131 | MR. GERALD ALAN ASHBY JR. J.D., B.A., SST Individual | Case Manager/Care Coordinator | 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 (734) 324-8326 |
| 1225389570 | MS. JESSICA MARGARET MCKENZIE RN Individual | Registered Nurse (Psychiatric/Mental Health) | 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 (734) 324-8326 |
| 1699026872 | MR. KENNETH THOMAS LONGTON RN, BSN Individual | Registered Nurse (Administrator) | 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 (734) 324-8326 |
| 1336490259 | MS. KELLY RENEE SCHOMBERGER B.S. Individual | Social Worker (Clinical) | 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 (734) 324-8326 |
| 1558612481 | MS. RACHEL ELIZABETHER ODETT B.A. SST Individual | Social Worker | 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 (734) 324-8326 |
| 1124379011 | MRS. TANYA LYNN TROMETER LLBSSW Individual | Social Worker | 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 (734) 324-8326 |
| 1194077933 | OMAR SHERIFF W Individual | Social Worker | 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 (734) 324-8326 |
| 1982956892 | MS. SHANTELL CLARK MSW Individual | Social Worker | 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 (734) 324-8326 |
| 1710239488 | MRS. ALLAINA TERICE FAIR LLBSW Individual | Counselor (Mental Health) | 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 (734) 324-8326 |
| 1225380355 | CHARITA MICHELLE JOHNSON Individual | Case Manager/Care Coordinator | 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 (734) 324-8326 |
| 1730432717 | MRS. LAKEISHA ELAINE LIPSEY BS.SST Individual | Case Manager/Care Coordinator | 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 (734) 324-8326 |
| 1306123526 | MR. FRANCIS ROOSEVELT GARDINER MSW Individual | Social Worker | 14799 DIX TOLEDO RD SOUTHGATE, MI 48195 (313) 274-3700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770144370, enumerated in the NPI registry as an "individual" on June 25, 2019
The provider is located at 14799 Dix Toledo Rd Southgate, Mi 48195 and the phone number is (877) 299-1655
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $90.76 with an average copayment of $22.69 for new patient appointments. Established patients should expect a typical charge of $102.35 and an average copayment of 25.58. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 25, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.