MR. SAMUEL OLAOLUWA OMOLADE APRN PMHNP
NPI 1548799141
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX

Active since June 07, 2017PECOS EnrolledAccepts Medicare Assignment
11650 MCCREE RD, DALLAS, TX 75238(718) 304-4906 Get Directions Write a Review

NPPES record last updated: July 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2023, Mar 29, 2023, Mar 14, 2023 and 4 more (7 updates tracked since 2017).

About Mr. Samuel Olaoluwa Omolade Aprn Pmhnp NPPES

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

MR. SAMUEL OLAOLUWA OMOLADE APRN PMHNP (NPI 1548799141) is an individual psychiatric/mental health provider in Dallas, Texas, licensed in Texas (1099855) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1548799141
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. SAMUEL OLAOLUWA OMOLADECredential: APRN PMHNP
Location Address11650 MCCREE RDDallas, TX 75238-5224
Mailing Address11650 Mccree Rd Apt 2034Dallas, TX 75238-3245 · (718) 304-4906
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 7, 2017
Last NPPES UpdateJuly 15, 20237 updates tracked since enumeration
NPPES CertifiedJuly 15, 2023
NPI 1548799141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in TX · 1099855 Licensed in WA · AP61366158
Also ListedRegistered Nurse · AdministratorTaxonomy 163WA2000X · License 958104 (TX)
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 320878-1 (NY)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 958104 (TX)
11650 MCCREE RD, Dallas, TX 75238

Secondary Practice Location 1

Location 11904 Arnow AveBronx, NY 10469-3334 · Phone (718) 304-4906

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

Mr. Samuel Olaoluwa Omolade Aprn Pmhnp 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 ID3577938281
PECOS Enrollment IDI20251208003680
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 75238 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

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 Samuel Omolade's NPI number?

The NPI number for Samuel Omolade is 1548799141. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Samuel Omolade located?

Samuel Omolade practices at 11650 Mccree Rd, Dallas, TX 75238. The listed phone number is (718) 304-4906.

What is Samuel Omolade's specialty?

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

Is Samuel Omolade enrolled in Medicare?

Yes. Samuel Omolade 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 Samuel Omolade accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Harvard Pilgrim Health Care and Oscar Health Maintenance Organization of Florida and 3 other insurers list Samuel Omolade 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 Samuel Omolade was last updated on July 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.