OSADEBAMWEN OMOREGIE
NPI 1336798974
Nurse Practitioner - Psychiatric/Mental Health in Tacoma, WA

Active since September 06, 2019PECOS EnrolledAccepts Medicare Assignment
1148 BROADWAY STE 100, TACOMA, WA 98402(253) 722-2161 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 29, 2021, Sep 6, 2019 (2 updates tracked since 2019).

About Osadebamwen Omoregie NPPES

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

OSADEBAMWEN OMOREGIE (NPI 1336798974) is an individual psychiatric/mental health provider in Tacoma, Washington, licensed in Washington (AP61143120) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1336798974
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameOSADEBAMWEN OMOREGIE
Location Address1148 BROADWAY STE 100Tacoma, WA 98402-3518
Mailing Address1148 Broadway Ste 100Tacoma, WA 98402-3518 · (253) 722-2161
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 6, 2019
Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
NPI 1336798974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WA · AP61143120
1148 BROADWAY STE 100, Tacoma, WA 98402

Accepted 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

Osadebamwen Omoregie 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 ID3678714524
PECOS Enrollment IDI20210604001391
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 98402 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Nurse Practitioner
1148 BROADWAY STE 100
TACOMA, WA 98402
Dental Hygienist
1148 BROADWAY STE 100
TACOMA, WA 98402
Pediatrics
1148 BROADWAY STE 100
TACOMA, WA 98402
Dentist
1148 BROADWAY STE 100
TACOMA, WA 98402
Pediatrics
1148 BROADWAY STE 100
TACOMA, WA 98402
Registered Nurse
1148 BROADWAY STE 100
TACOMA, WA 98402
Physician Assistant (Medical)
1148 BROADWAY STE 100
TACOMA, WA 98402
Family Medicine
1148 BROADWAY STE 100
TACOMA, WA 98402

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 Osadebamwen Omoregie's NPI number?

The NPI number for Osadebamwen Omoregie is 1336798974. It was assigned to this individual provider in the NPPES registry on September 6, 2019.

Where is Osadebamwen Omoregie located?

Osadebamwen Omoregie practices at 1148 Broadway Ste 100, Tacoma, WA 98402. The listed phone number is (253) 722-2161.

What is Osadebamwen Omoregie's specialty?

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

Is Osadebamwen Omoregie enrolled in Medicare?

Yes. Osadebamwen Omoregie 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 Osadebamwen Omoregie accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Osadebamwen Omoregie 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 Osadebamwen Omoregie was last updated on March 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.