TAIWO OKUBANJO FNP-C
NPI 1285192963
Nurse Practitioner - Family in Fort Worth, TX
About Taiwo Okubanjo Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAIWO OKUBANJO FNP-C (NPI 1285192963) is an individual family provider in Fort Worth, Texas, licensed in Texas (AP139920) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.
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)
Taiwo Okubanjo Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Taiwo Okubanjo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Antonio, TX 78217
- Reassigned Medicare billing, Texas enrollment
- 20 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 76137 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Taiwo Okubanjo's NPI number?
The NPI number for Taiwo Okubanjo is 1285192963. It was assigned to this individual provider in the NPPES registry on March 12, 2019.
Where is Taiwo Okubanjo located?
Taiwo Okubanjo practices at 4601 Seneca Dr, Fort Worth, TX 76137. The listed phone number is (682) 556-1274.
What is Taiwo Okubanjo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Taiwo Okubanjo enrolled in Medicare?
Yes. Taiwo Okubanjo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Taiwo Okubanjo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Taiwo Okubanjo reassigns Medicare benefits to Graceland Psychiatric And Neuromodulation Center PLLC (San Antonio, TX). 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 Taiwo Okubanjo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Taiwo Okubanjo accept?
Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and Oscar Insurance Company list Taiwo Okubanjo 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 Taiwo Okubanjo was last updated on March 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Taiwo Okubanjo, FNP-C · NPI 1285192963
Family physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since March 12, 2019.
## Identity
- **NPI:** 1285192963 (Entity type: Individual)
- **Enumerated:** March 12, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP139920 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4601 SENECA DR, Fort Worth, TX 76137-6141
- **Phone:** (682) 556-1274
## 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:** Graceland Psychiatric And Neuromodulation Center PLLC (NPI 1518548262, San Antonio, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 12, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1285192963) · Data from the CMS NPPES public registry.