OMOWOLEOLA BAKARE
NPI 1003766619
Nurse Practitioner - Psychiatric/Mental Health in South Jordan, UT
About Omowoleola Bakare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OMOWOLEOLA BAKARE (NPI 1003766619) is an individual psychiatric/mental health provider in South Jordan, Utah, licensed in Utah (2025099576) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Omowoleola Bakare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH JORDAN, UT 84095
SOUTH JORDAN, UT 84095
SOUTH JORDAN, UT 84095
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Omowoleola Bakare's NPI number?
The NPI number for Omowoleola Bakare is 1003766619. It was assigned to this individual provider in the NPPES registry on February 2, 2026.
Where is Omowoleola Bakare located?
Omowoleola Bakare practices at 1654 W Reunion Ave Ste 10B, South Jordan, UT 84095. The listed phone number is (801) 349-2480.
What is Omowoleola Bakare's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Omowoleola Bakare enrolled in Medicare?
Yes. Omowoleola Bakare is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Omowoleola Bakare was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Omowoleola Bakare · NPI 1003766619
Psychiatric/Mental Health physician in South Jordan, Utah. Individual provider, active in the CMS NPPES registry since February 2, 2026.
## Identity
- **NPI:** 1003766619 (Entity type: Individual)
- **Enumerated:** February 2, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 2025099576 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1654 W REUNION AVE STE 10B, South Jordan, UT 84095-4676
- **Phone:** (801) 349-2480
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1003766619) · Data from the CMS NPPES public registry.