OMOBOLAWA OREOLUWA OLAGOKE
NPI 1093200248
Nurse Practitioner in Kernersville, NC

Q: What is Omobolawa Olagoke's NPI number?

The NPI number for Omobolawa Olagoke is 1093200248. It was assigned to this individual provider in the NPPES registry on June 28, 2018.

Q: What is Omobolawa Olagoke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Omobolawa Olagoke was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since June 28, 2018PECOS EnrolledAccepts Medicare Assignment

1710 KERNERSVILLE MEDICAL PKWY STE 201, KERNERSVILLE, NC 27284(336) 515-7440(336) 515-7449 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2021, Oct 13, 2020, Jan 18, 2019 and 3 more (6 updates tracked since 2018).

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About Omobolawa Oreoluwa Olagoke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMOBOLAWA OREOLUWA OLAGOKE (NPI 1093200248) is an individual nurse practitioner in Kernersville, North Carolina, licensed in North Carolina (5011244) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1093200248

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameOMOBOLAWA OREOLUWA OLAGOKE

Location Address1710 KERNERSVILLE MEDICAL PKWY STE 201Kernersville, NC 27284-7156

Mailing AddressPo Box 751803Charlotte, NC 28275-1803

Phone(336) 515-7440

Fax(336) 515-7449

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 28, 2018

Last NPPES UpdateMarch 17, 20226 updates tracked since enumeration

NPPES CertifiedMarch 17, 2022

✔ NPI 1093200248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5011244

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1710 KERNERSVILLE MEDICAL PKWY STE 201, Kernersville, NC 27284

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Secondary Practice Location 1

Location 1186 Kimel Park DrWinston Salem, NC 27103-6946 · Phone (336) 277-2000 · Fax (336) 277-2050

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Omobolawa Oreoluwa Olagoke is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103165378

PECOS Enrollment IDI20190305003350

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Omobolawa Olagoke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Forsyth Memorial Hospital Inc

Same address

Hematology & Oncology

1710 KERNERSVILLE MEDICAL PKWY STE 116
Kernersville, NC 27284

Reassigned Medicare billing, North Carolina enrollment
1,202 clinicians in this Medicare group

NPI 1073823118 (336) 564-4170

Novant Health Medical Group, LLC

Same address

Surgery

1710 KERNERSVILLE MEDICAL PKWY STE 202
Kernersville, NC 27284

Reassigned Medicare billing, North Carolina enrollment
2,998 clinicians in this Medicare group

NPI 1184368151 (336) 277-6300

Novant Health Thomasville Medical Center, LLC

Same address

Hematology & Oncology

1710 KERNERSVILLE MEDICAL PKWY STE 116
Kernersville, NC 27284

Reassigned Medicare billing, North Carolina enrollment
719 clinicians in this Medicare group

NPI 1043965429 (336) 564-4170

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

382 services313 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

96 services96 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

41 services39 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340014

Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County

Emergency services Birthing friendly

Novant Health Thomasville Medical Center

Acute Care Hospitals · Thomasville, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340085

Location207 Old Lexington Rd Box 789Thomasville, NC 27360 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27284 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FORSYTH MEMORIAL HOSPITAL INC

Internal Medicine

1710 KERNERSVILLE MEDICAL PKWY STE 201
KERNERSVILLE, NC 27284

Forsyth County (336) 718-1680

KAMELIYA HRISTOVA PAC

Physician Assistant

1710 KERNERSVILLE MEDICAL PKWY STE 201
KERNERSVILLE, NC 27284

Forsyth County (336) 515-7440

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 Omobolawa Olagoke's NPI number?

The NPI number for Omobolawa Olagoke is 1093200248. It was assigned to this individual provider in the NPPES registry on June 28, 2018.

Where is Omobolawa Olagoke located?

Omobolawa Olagoke practices at 1710 Kernersville Medical Pkwy Ste 201, Kernersville, NC 27284. The listed phone number is (336) 515-7440.

What is Omobolawa Olagoke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Omobolawa Olagoke enrolled in Medicare?

Yes. Omobolawa Olagoke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Omobolawa Olagoke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omobolawa Olagoke reassigns Medicare benefits to 3 organizations: Forsyth Memorial Hospital Inc (Kernersville, NC), Novant Health Medical Group, LLC (Kernersville, NC) and Novant Health Thomasville Medical Center, LLC (Kernersville, NC). Each 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 Omobolawa Olagoke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omobolawa Olagoke accept?

Health plans from Blue Cross and Blue Shield of NC list Omobolawa Olagoke 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.

Is Omobolawa Olagoke affiliated with any hospitals?

According to CMS data, Omobolawa Olagoke is affiliated with Novant Health Forsyth Medical Center and Novant Health Thomasville Medical Center.

When was this NPI record last updated?

The NPPES record for Omobolawa Olagoke was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.