MARILYN OMOMEN AGPCNP, PMHNP
NPI 1316337215
Nurse Practitioner - Psychiatric/Mental Health in Temple, TX

Q: What is Marilyn Omomen's NPI number?

The NPI number for Marilyn Omomen is 1316337215. It was assigned to this individual provider in the NPPES registry on January 29, 2015.

Q: What is Marilyn Omomen'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 Marilyn Omomen was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 29, 2015PECOS EnrolledAccepts Medicare Assignment

2401 S 31ST ST, TEMPLE, TX 76508(254) 724-2111(254) 724-7603 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2024, Jan 6, 2021, Nov 14, 2016 (3 updates tracked since 2016).

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About Marilyn Omomen Agpcnp, Pmhnp NPPES

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

MARILYN OMOMEN AGPCNP, PMHNP (NPI 1316337215) is an individual psychiatric/mental health provider in Temple, Texas, licensed in Texas (AP127499) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316337215

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMARILYN OMOMENCredential: AGPCNP, PMHNP

Location Address2401 S 31ST STTemple, TX 76508-0001

Mailing AddressPo Box 844658Dallas, TX 75284-4658

Phone(254) 724-2111

Fax(254) 724-7603

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJanuary 29, 2015

Last NPPES UpdateJune 25, 20263 updates tracked since enumeration

NPPES CertifiedJune 25, 2026

✔ NPI 1316337215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · AP127499

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 785075 (TX)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP127499 (TX)

2401 S 31ST ST, Temple, TX 76508

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Secondary Practice Locations 2

Location 16101 W Courtyard Dr Ste 2-225Austin, TX 78730-5044 · Phone (512) 956-5003

Location 21605 S 31stTemple, TX 76508-0001 · Phone (254) 215-0100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Harbor Health 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

Marilyn Omomen Agpcnp, Pmhnp 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 ID4789901349

PECOS Enrollment IDI20150320000084

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

Medicare enrollment records show Marilyn Omomen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Scott & White Clinic

Same address

Internal Medicine

2401 S 31ST ST
Temple, TX 76508

Reassigned Medicare billing, Texas enrollment
2,795 clinicians in this Medicare group

NPI 1093779704 (254) 724-2111

Us Televero Health PA

56 mi

Mental Health (Including Community Mental Health Center)

6101 W COURTYARD DR STE 2-225
Austin, TX 78730

Reassigned Medicare billing, Connecticut and Texas enrollments
5 clinicians in this Medicare group

NPI 1992318992 (877) 474-0155

Grow Healthcare Group PA

1,106 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Arizona and Texas enrollments
532 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

112 services109 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.

35 services35 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450054

Location2401 S 31st StTemple, TX 76508 · Bell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76508 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.

DR. TIFFANY JONES BERRY MD

Family Medicine