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OLAMIGOKE DAVID OMOTAYO
NPI 1396616280
Nurse Practitioner - Family in Jeffersonville, IN

Active since September 15, 2025PECOS Enrolled
1701 SPRING ST STE B, JEFFERSONVILLE, IN 47130(812) 284-2273 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Olamigoke David Omotayo NPPES

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

OLAMIGOKE DAVID OMOTAYO (NPI 1396616280) is an individual family provider in Jeffersonville, Indiana, licensed in Indiana (71016925A) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1396616280
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameOLAMIGOKE DAVID OMOTAYO
Location Address1701 SPRING ST STE BJeffersonville, IN 47130-2930
Mailing Address1701 Spring St Ste BJeffersonville, IN 47130-2930 · (812) 284-2273
Phone(812) 284-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 15, 2025
Last NPPES UpdateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
✔ NPI 1396616280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71016925A
1701 SPRING ST STE B, Jeffersonville, IN 47130
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olamigoke David Omotayo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244735371
PECOS Enrollment IDI20250927000317
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 47130 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 17

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

TIMOTHY WISE
Nurse Practitioner (Family)
1701 SPRING ST STE B
JEFFERSONVILLE, IN 47130
Clark County (812) 284-2273
CHRISTINA LE ANN LOPP APRN,MSN,FNP,WHNP
Nurse Practitioner (Family)
1701 SPRING ST STE B
JEFFERSONVILLE, IN 47130
Clark County (812) 284-2273
HOLLY RENEE TERRY FNP-C
Nurse Practitioner (Family)
1701 SPRING ST STE B
JEFFERSONVILLE, IN 47130
Clark County (812) 284-2273
SABRINA B STANLEY NP
Nurse Practitioner (Family)
1701 SPRING ST STE B
JEFFERSONVILLE, IN 47130
Clark County (812) 284-2273
JESSICA LYNN JOHNSON
Nurse Practitioner (Family)
1701 SPRING ST STE B
JEFFERSONVILLE, IN 47130
Clark County (812) 284-2273
HARRISON MARTIN
Nurse Practitioner (Family)
1701 SPRING ST STE B
JEFFERSONVILLE, IN 47130
Clark County (812) 284-2273
MRS. SAMANTHA BLAIN SISCO NP
Nurse Practitioner (Family)
1701 SPRING ST STE B
JEFFERSONVLLE, IN 47130
Clark County (812) 284-2273
LINDSEY MYERS
Family Medicine (Geriatric Medicine)
1701 SPRING ST STE B
JEFFERSONVILLE, IN 47130
Clark County (812) 284-2273

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 Olamigoke Omotayo's NPI number?

The NPI number for Olamigoke Omotayo is 1396616280. It was assigned to this individual provider in the NPPES registry on September 15, 2025.

Where is Olamigoke Omotayo located?

Olamigoke Omotayo practices at 1701 Spring St Ste B, Jeffersonville, IN 47130. The listed phone number is (812) 284-2273.

What is Olamigoke Omotayo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Olamigoke Omotayo enrolled in Medicare?

Yes. Olamigoke Omotayo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olamigoke Omotayo was last updated on September 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.