TITILAYO OMONISA
NPI 1497307458
Nurse Practitioner - Family in Scottsdale, AZ
About Titilayo Omonisa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TITILAYO OMONISA (NPI 1497307458) is an individual family provider in Scottsdale, Arizona, licensed in Minnesota (6550) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn Park, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Titilayo Omonisa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Titilayo Omonisa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Abilene, TX 79606
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Regional Physician Services Of Texas PA
- 396 clinicians in this Medicare group
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 4 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Minnesota enrollment
- 126 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85258 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SCOTTSDALE, AZ 85258
SCOTTSDALE, AZ 85258
SCOTTSDALE, AZ 85258
SCOTTSDALE, AZ 85258
SCOTTSDALE, AZ 85258
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 Titilayo Omonisa's NPI number?
The NPI number for Titilayo Omonisa is 1497307458. It was assigned to this individual provider in the NPPES registry on July 10, 2019.
Where is Titilayo Omonisa located?
Titilayo Omonisa practices at 9201 E Mountain View Rd, Scottsdale, AZ 85258. The listed phone number is (877) 564-3627.
What is Titilayo Omonisa's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Titilayo Omonisa enrolled in Medicare?
Yes. Titilayo Omonisa is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Titilayo Omonisa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Titilayo Omonisa reassigns Medicare benefits to 3 organizations: Regional Physician Services Of Texas, P.A. (Abilene, TX), Accord Health, PLLC (Maple Grove, MN) and Matrix Medical Plus (Nashville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Titilayo Omonisa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Titilayo Omonisa was last updated on July 10, 2019. 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.
# Titilayo Omonisa · NPI 1497307458
Family physician in Scottsdale, Arizona. Individual provider, active in the CMS NPPES registry since July 10, 2019.
## Identity
- **NPI:** 1497307458 (Entity type: Individual)
- **Enumerated:** July 10, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 6550 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9201 E MOUNTAIN VIEW RD, Scottsdale, AZ 85258-5199
- **Phone:** (877) 564-3627
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Regional Physician Services Of Texas, P.A. (NPI 1043529944, Abilene, TX); Accord Health, PLLC (NPI 1679211296, Maple Grove, MN); Matrix Medical Plus (NPI 1376973461, Nashville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 10, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1497307458) · Data from the CMS NPPES public registry.