OLATUNDE OMOLEYE OWOEYE
NPI 1487165817
Nurse Practitioner - Family in Clearlake, CA
About Olatunde Omoleye Owoeye NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLATUNDE OMOLEYE OWOEYE (NPI 1487165817) is an individual family provider in Clearlake, California, licensed in California (95009059) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
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
Olatunde Omoleye Owoeye 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 10
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Olatunde Owoeye's NPI number?
The NPI number for Olatunde Owoeye is 1487165817. It was assigned to this individual provider in the NPPES registry on October 12, 2017.
Where is Olatunde Owoeye located?
Olatunde Owoeye practices at 15230 Lakeshore Dr, Clearlake, CA 95422. The listed phone number is (707) 995-4500.
What is Olatunde Owoeye's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Olatunde Owoeye enrolled in Medicare?
Yes. Olatunde Owoeye 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.
When was this NPI record last updated?
The NPPES record for Olatunde Owoeye was last updated on October 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Olatunde Omoleye Owoeye · NPI 1487165817
Family physician in Clearlake, California. Individual provider, active in the CMS NPPES registry since October 12, 2017.
## Identity
- **NPI:** 1487165817 (Entity type: Individual)
- **Enumerated:** October 12, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95009059 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 15230 LAKESHORE DR, Clearlake, CA 95422-8107
- **Phone:** (707) 995-4500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 19, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1487165817) · Data from the CMS NPPES public registry.