DR. EDIOMI ENEBONG ODUWOLE DNP
NPI 1356996326
Nurse Practitioner - Psychiatric/Mental Health in Houston, TX

Q: What is Ediomi Oduwole's NPI number?

The NPI number for Ediomi Oduwole is 1356996326. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Q: What is Ediomi Oduwole'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 Ediomi Oduwole was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 07, 2019PECOS EnrolledAccepts Medicare Assignment

24 GREENWAY PLZ STE 1800, HOUSTON, TX 77046(507) 353-2419(507) 607-8967 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, May 7, 2026, Jun 24, 2024 and 2 more (5 updates tracked since 2019).

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About Dr. Ediomi Enebong Oduwole Dnp NPPES

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

DR. EDIOMI ENEBONG ODUWOLE DNP (NPI 1356996326) is an individual psychiatric/mental health provider in Houston, Texas, licensed in Minnesota (8117) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1356996326

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. EDIOMI ENEBONG ODUWOLECredential: DNP

Location Address24 GREENWAY PLZ STE 1800Houston, TX 77046-2457

Mailing Address24 Greenway Plz Ste 1800Houston, TX 77046-2457 · (507) 353-2419 · Fax (507) 607-8967

Phone(507) 353-2419

Fax(507) 607-8967

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 7, 2019

Last NPPES UpdateMay 13, 20265 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1356996326 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

Licenses✔ Licensed in MN · 8117✔ Licensed in TX · AP142164✔ Licensed in KS · 82079

24 GREENWAY PLZ STE 1800, Houston, TX 77046

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Secondary Practice Locations 2

Location 16611 E Central Ave Ste CWichita, KS 67206-1937 · Phone (507) 353-2419 · Fax (507) 607-8967

Location 27201 Metro Blvd Ste 550Edina, MN 55439-1353 · Phone (507) 353-2419 · Fax (507) 607-8967

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and more.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

Dr. Ediomi Enebong Oduwole Dnp 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 ID5496086001

PECOS Enrollment IDI20211209002599, I20230516001126

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.

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 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.

168 services47 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

60 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77046 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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 18

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

THE VINE MENTAL WELLNESS CENTERS PLLC

Clinic/Center (Mental Health (Including Community Mental Health Center))