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KEYAMO M OMOKURU DNP, PMHNP-BC
NPI 1295066694
Nurse Practitioner - Psychiatric/Mental Health in San Antonio, TX

Active since January 25, 2010PECOS EnrolledAccepts Medicare Assignment
928 W COMMERCE ST, SAN ANTONIO, TX 78207(210) 261-1250(210) 434-0716 Get Directions Write a Review

NPPES record last updated: May 2, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Keyamo M Omokuru Dnp, Pmhnp-bc NPPES

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

KEYAMO M OMOKURU DNP, PMHNP-BC (NPI 1295066694) is an individual psychiatric/mental health provider in San Antonio, Texas, licensed in Texas (AP141260) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hamilton, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295066694
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKEYAMO M OMOKURUCredential: DNP, PMHNP-BC
Location Address928 W COMMERCE STSan Antonio, TX 78207-4444
Mailing Address6800 Park Ten Blvd Ste 200sSan Antonio, TX 78213-4293 · (210) 261-1000
Phone(210) 261-1250
Fax(210) 434-0716
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 25, 2010
Last NPPES UpdateMay 2, 2019
✔ NPI 1295066694 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
License✔ Licensed in TX · AP141260
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License PN 19805 (OH)
928 W COMMERCE ST, San Antonio, TX 78207
Open in Google Maps ↗

Secondary Practice Location 1

Location 17563 Black Squirrel TrlHamilton, OH 45011-7613 · Phone (513) 807-7507

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Community First and more.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

Keyamo M Omokuru 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 ID1850634338
PECOS Enrollment IDI20190524001124
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 Keyamo Omokuru reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bexar County Board Of Trustees For Mental Health Mental Retardation
5.0 mi
Family Medicine
6800 PARK TEN BLVD, SUITE 200-S
San Antonio, TX 78213
  • Reassigned Medicare billing, Texas enrollment
  • 210 clinicians in this Medicare group
NPI 1679948392 (210) 261-1000
Mypsych Mental Health, PLLC
7.5 mi
Psychiatry
8026 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 23 clinicians in this Medicare group
NPI 1871962191 (210) 990-1142

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
71 services30 patients
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.
63 services36 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78207 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

BEATRICE RENEE YBARRA LVN
Licensed Vocational Nurse
928 W COMMERCE ST
SAN ANTONIO, TX 78207
Bexar County (210) 261-1200
BARBARA DEPA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
928 W COMMERCE ST
SAN ANTONIO, TX 78207
Bexar County (210) 261-1060
SYLVANA EHAB BORTOL
Counselor (Professional)
928 W COMMERCE ST
SAN ANTONIO, TX 78207
Bexar County (210) 261-1200
SUSAN MARIE MERCADO MA, LPC
Counselor (Professional)
928 W COMMERCE ST
SAN ANTONIO, TX 78207
Bexar County (210) 261-1600
LIZETTE VELAZQUEZ LPC
Counselor (Professional)
928 W COMMERCE ST
SAN ANTONIO, TX 78207
Bexar County (210) 261-1200
MARSHALL H SMITH M.D.
Psychiatry & Neurology (Psychiatry)
928 W COMMERCE ST
SAN ANTONIO, TX 78207
Bexar County (210) 261-1200
BRENDA LEE JELEN-BORREGO LCSW
Social Worker (Clinical)
928 W COMMERCE ST
SAN ANTONIO, TX 78207
Bexar County (210) 261-3168
ADAM IBN ABDUL RAHMAN GILL LCDC-I
Counselor (Addiction (Substance Use Disorder))
928 W COMMERCE ST
SAN ANTONIO, TX 78207
Bexar County (210) 261-1200

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 Keyamo Omokuru's NPI number?

The NPI number for Keyamo Omokuru is 1295066694. It was assigned to this individual provider in the NPPES registry on January 25, 2010.

Where is Keyamo Omokuru located?

Keyamo Omokuru practices at 928 W Commerce St, San Antonio, TX 78207. The listed phone number is (210) 261-1250.

What is Keyamo Omokuru's specialty?

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

Is Keyamo Omokuru enrolled in Medicare?

Yes. Keyamo Omokuru 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 Keyamo Omokuru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keyamo Omokuru reassigns Medicare benefits to 2 organizations: Bexar County Board Of Trustees For Mental Health Mental Retardation (San Antonio, TX) and Mypsych Mental Health, PLLC (San Antonio, 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 Keyamo Omokuru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keyamo Omokuru accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Community First, Harbor Health and Oscar Insurance Company and 1 other insurer list Keyamo Omokuru 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 Keyamo Omokuru was last updated on May 2, 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.