BOLAJOKO O KWENTUA NP
NPI 1669280889
Nurse Practitioner - Family in Richmond, TX

Active since December 19, 2024PECOS Enrolled
10103 LILAC CROFT LN, RICHMOND, TX 77406(832) 724-1455 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bolajoko O Kwentua Np NPPES

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

BOLAJOKO O KWENTUA NP (NPI 1669280889) is an individual family provider in Richmond, Texas, licensed in Texas (118275) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669280889
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBOLAJOKO O KWENTUACredential: NP
Location Address10103 LILAC CROFT LNRichmond, TX 77406-1776
Mailing Address10103 Lilac Croft LnRichmond, TX 77406-1776 · (832) 724-1455
Sole ProprietorNo
Enumeration DateDecember 19, 2024
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1669280889 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 TX · 118275
10103 LILAC CROFT LN, Richmond, TX 77406

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bolajoko O Kwentua Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Bolajoko Kwentua reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 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 77406 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 Bolajoko Kwentua's NPI number?

The NPI number for Bolajoko Kwentua is 1669280889. It was assigned to this individual provider in the NPPES registry on December 19, 2024.

Where is Bolajoko Kwentua located?

Bolajoko Kwentua practices at 10103 Lilac Croft Ln, Richmond, TX 77406. The listed phone number is (832) 724-1455.

What is Bolajoko Kwentua's specialty?

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

Is Bolajoko Kwentua enrolled in Medicare?

Yes. Bolajoko Kwentua is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bolajoko Kwentua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bolajoko Kwentua reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The 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 Bolajoko Kwentua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bolajoko Kwentua accept?

Health plans from Blue Cross and Blue Shield of Texas list Bolajoko Kwentua 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 Bolajoko Kwentua was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.