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

Q: 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.

Q: 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.

Q: 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 17 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.

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: August 09, 2026.

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

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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

Phone(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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

OLUWASEUN ESTHER OMOBA

Student in an Organized Health Care Education/Training Program

1141 WISHING WELL CT
CEDAR HILL, TX 75104

Dallas County (817) 323-5579

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.

What insurance does Adegboyega Omoba accept?

Health plans from Providence Health Plan 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 17 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.