MR. ADEGBOYEGA OMOBA DNP, PMHNP-BC
NPI 1144713611
Nurse Practitioner - Psychiatric/Mental Health in Cedar Hill, TX

Active since June 11, 2018PECOS EnrolledAccepts Medicare Assignment
1141 WISHING WELL CT, CEDAR HILL, TX 75104(682) 560-0666(817) 422-0781 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 11, 2025, Aug 1, 2018, Jun 11, 2018 (3 updates tracked since 2018).

About Mr. Adegboyega Omoba Dnp, Pmhnp-bc NPPES

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

MR. ADEGBOYEGA OMOBA DNP, PMHNP-BC (NPI 1144713611) is an individual psychiatric/mental health provider in Cedar Hill, Texas, licensed in Texas (AP137736) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1144713611
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. ADEGBOYEGA OMOBACredential: DNP, PMHNP-BC
Location Address1141 WISHING WELL CTCedar Hill, TX 75104-8255
Mailing Address1141 Wishing Well CtCedar Hill, TX 75104-8255 · (682) 560-0666
Fax(817) 422-0781
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 11, 2018
Last NPPES UpdateMarch 11, 20253 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1144713611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in TX · AP137736✔ Licensed in CO · C-APN.0001960-C-NP✔ Licensed in AZ · 2639996
Also ListedRegistered NurseTaxonomy 163W00000X · License 840719 (TX)
1141 WISHING WELL CT, Cedar Hill, TX 75104

Accepted 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

Mr. Adegboyega Omoba Dnp, Pmhnp-bc 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 ID1557604790
PECOS Enrollment IDI20190510000277
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 Adegboyega Omoba reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
1406 ANGLICAN DR
Arlington, TX 76002
  • Reassigned Medicare billing, Texas enrollment
Prescribing (Medical)
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 89 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 75104 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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

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

Student in an Organized Health Care Education/Training Program
1141 WISHING WELL CT
CEDAR HILL, TX 75104

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 Adegboyega Omoba's NPI number?

The NPI number for Adegboyega Omoba is 1144713611. It was assigned to this individual provider in the NPPES registry on June 11, 2018.

Where is Adegboyega Omoba located?

Adegboyega Omoba practices at 1141 Wishing Well Ct, Cedar Hill, TX 75104. The listed phone number is (682) 560-0666.

What is Adegboyega Omoba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Adegboyega Omoba enrolled in Medicare?

Yes. Adegboyega Omoba 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 Adegboyega Omoba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adegboyega Omoba reassigns Medicare benefits to 2 organizations: Fast Behavorial Health Corporation (Arlington, TX) and Behavioral Health Of North Texas LLP (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 Adegboyega Omoba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adegboyega Omoba accept?

Health plans from Cigna Healthcare and WellPoint list Adegboyega Omoba 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 Adegboyega Omoba was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.