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OLUWAYEMISI O AGBOOLA FNP
NPI 1114210648
Nurse Practitioner - Family in Fort Worth, TX

Active since May 17, 2011PECOS Enrolled
855 MONTGOMERY ST, FORT WORTH, TX 76107(817) 702-6100 Get Directions Write a Review

NPPES record last updated: October 16, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Oluwayemisi O Agboola Fnp NPPES

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

OLUWAYEMISI O AGBOOLA FNP (NPI 1114210648) is an individual family provider in Fort Worth, Texas, licensed in Texas (798878) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114210648
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameOLUWAYEMISI O AGBOOLACredential: FNP
Location Address855 MONTGOMERY STFort Worth, TX 76107-2553
Mailing AddressPo Box 99335Fort Worth, TX 76199-0335
Phone(817) 702-6100
Sole ProprietorNo
Enumeration DateMay 17, 2011
Last NPPES UpdateOctober 16, 2014
✔ NPI 1114210648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TX · 798878✔ Licensed in PA · SP010939
855 MONTGOMERY ST, Fort Worth, TX 76107
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Other Identifiers 3

Medicaid295160004TX
Other8562NKTX · Bcbs
Medicare PIN268805YPF6TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oluwayemisi O Agboola Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Oluwayemisi Agboola reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Integrative Emergency Services Physician Group PA
3.0 mi
Emergency Medicine
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 328 clinicians in this Medicare group
NPI 1285922542 (817) 927-1100
Exelon Health Management LLC
38 mi
Clinic/Center
9304 FOREST LN STE S145
Dallas, TX 75243
  • Reassigned Medicare billing, Texas enrollment
  • 10 clinicians in this Medicare group
NPI 1124995279 (708) 505-6789

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 76107 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 20

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

UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER OF FORT WORTH
Pathology (Clinical Pathology/Laboratory Medicine)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-2000
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Family Medicine
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-2000
DR. MICHAEL DAVID CARLETTI D.O.
Dermatology
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-0278
PREMA MANJUNATH MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 927-3638
JOSE RAMON SILVAS MD
Psychiatry & Neurology (Psychiatry)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 927-3638
KENDI HENSEL DO
Neuromusculoskeletal Medicine & OMM
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-2235
CHRIS CHIU
Student in an Organized Health Care Education/Training Program
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-2228
CHRYSTYNA KAULBACH SENKEL PA
Physician Assistant
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-2122

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 Oluwayemisi Agboola's NPI number?

The NPI number for Oluwayemisi Agboola is 1114210648. It was assigned to this individual provider in the NPPES registry on May 17, 2011.

Where is Oluwayemisi Agboola located?

Oluwayemisi Agboola practices at 855 Montgomery St, Fort Worth, TX 76107. The listed phone number is (817) 702-6100.

What is Oluwayemisi Agboola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Oluwayemisi Agboola enrolled in Medicare?

Yes. Oluwayemisi Agboola is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Oluwayemisi Agboola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oluwayemisi Agboola reassigns Medicare benefits to 2 organizations: Integrative Emergency Services Physician Group PA (Fort Worth, TX) and Exelon Health Management LLC (Dallas, TX). 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 Oluwayemisi Agboola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Oluwayemisi Agboola was last updated on October 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.