MR. SAMUEL OLAOLUWA OMOLADE APRN PMHNP
NPI 1548799141
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX
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
Specialties & Licenses 4
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Samuel Omolade reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77081
- Reassigned Medicare billing, Texas enrollment
- 53 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Colorado, District of Columbia, Iowa, New Hampshire, New Mexico, New York, Texas and Washington enrollments
- 504 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 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.
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.
Which organizations bill Medicare for Samuel Omolade's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Omolade reassigns Medicare benefits to 2 organizations: Kinghaven Counseling Group Inc (Houston, TX) and Grow Healthcare Group PA (Miami, FL). 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 Samuel Omolade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Omolade accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Harbor Health and 5 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.
# Mr. Samuel Olaoluwa Omolade, APRN PMHNP · NPI 1548799141
Psychiatric/Mental Health physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since June 7, 2017.
## Identity
- **NPI:** 1548799141 (Entity type: Individual)
- **Enumerated:** June 7, 2017
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 1099855 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11650 MCCREE RD, Dallas, TX 75238-5224
- **Phone:** (718) 304-4906
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kinghaven Counseling Group Inc (NPI 1396807350, Houston, TX); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1548799141) · Data from the CMS NPPES public registry.