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 and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Omowoleola Bakare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Omowoleola Bakare reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Jordan, UT 84095
- Reassigned Medicare billing, Utah enrollment
- 136 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Omowoleola Bakare's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Omowoleola Bakare reassigns Medicare benefits to Catholic Health Initiatives Colorado (South Jordan, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Omowoleola Bakare's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Omowoleola Bakare accept?
Health plans from Molina Healthcare and Select Health list Omowoleola Bakare as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 8 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
- **Bills Medicare through:** Catholic Health Initiatives Colorado (NPI 1992526438, South Jordan, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## 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.