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MRS. ABISOYE IFASEYI ODUTAYO FNP-BC
NPI 1679911747
Nurse Practitioner - Family in South Houston, TX

Active since June 11, 2013PECOS EnrolledAccepts Medicare Assignment
1201 S. ALEN GENOA RD, SOUTH HOUSTON, TX 77587(713) 910-0000(713) 910-0004 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2020, May 19, 2016 (2 updates tracked since 2016).

About Mrs. Abisoye Ifaseyi Odutayo Fnp-bc NPPES

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

MRS. ABISOYE IFASEYI ODUTAYO FNP-BC (NPI 1679911747) is an individual family provider in South Houston, Texas, licensed in Texas (AP121759) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1679911747
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ABISOYE IFASEYI ODUTAYOCredential: FNP-BC
Location Address1201 S. ALEN GENOA RDSouth Houston, TX 77587
Mailing Address1201 S. Alen Genoa RdSouth Houston, TX 77587 · (713) 910-0000 · Fax (713) 910-0004
Phone(713) 910-0000
Fax(713) 910-0004
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 11, 2013
Last NPPES UpdateAugust 29, 20242 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
✔ NPI 1679911747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP121759
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP121759 (TX)
1201 S. ALEN GENOA RD, South Houston, TX 77587
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Other Names 1

Professional Name (2)Abisoye Odutayo Fnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Mrs. Abisoye Ifaseyi Odutayo Fnp-bc 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 ID749578961
PECOS Enrollment IDI20161004000688
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 77587 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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 Abisoye Odutayo's NPI number?

The NPI number for Abisoye Odutayo is 1679911747. It was assigned to this individual provider in the NPPES registry on June 11, 2013. The provider is also known as Abisoye Odutayo Fnp.

Where is Abisoye Odutayo located?

Abisoye Odutayo practices at 1201 S. Alen Genoa Rd, South Houston, TX 77587. The listed phone number is (713) 910-0000.

What is Abisoye Odutayo's specialty?

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

Is Abisoye Odutayo enrolled in Medicare?

Yes. Abisoye Odutayo 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 Abisoye Odutayo accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Abisoye Odutayo 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 Abisoye Odutayo was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.