Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BETTY ODEYINGBO
NPI 1326467705
Nurse Practitioner - Primary Care in Grapevine, TX

Q: What is Betty Odeyingbo's NPI number?

The NPI number for Betty Odeyingbo is 1326467705. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Q: What is Betty Odeyingbo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Betty Odeyingbo was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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 April 14, 2014PECOS Enrolled

3701 IRA E WOODS AVE, GRAPEVINE, TX 76051(502) 644-9174 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Betty Odeyingbo NPPES

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

BETTY ODEYINGBO (NPI 1326467705) is an individual primary care provider in Grapevine, Texas, licensed in Texas (API25457) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Irving.

NPPES Registry Identity

NPI1326467705

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameBETTY ODEYINGBO

Location Address3701 IRA E WOODS AVEGrapevine, TX 76051-4213

Mailing Address6469 Riviera DrIrving, TX 75039-4160 · (502) 644-9174

Phone(502) 644-9174

Sole ProprietorYes

Enumeration DateApril 14, 2014

Last NPPES UpdateJuly 29, 2026

NPPES CertifiedJuly 29, 2026

✔ NPI 1326467705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in TX · API25457

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP125457 (TX)

3701 IRA E WOODS AVE, Grapevine, TX 76051

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Secondary Practice Location 1

Location 11115 Kinwest PkwyIrving, TX 75063-3432 · Phone (972) 401-0545

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Betty Odeyingbo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 76051 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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 13

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

DR. JAMES LOREN ROBERDS PHARMD.

Pharmacist