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KIKELOMO OMOTOSO
NPI 1700247418
Nurse Practitioner - Obstetrics & Gynecology in Bullhead City, AZ

Active since March 09, 2016PECOS EnrolledAccepts Medicare Assignment
2500 CANYON RD, STE A1, BULLHEAD CITY, AZ 86442(928) 704-4499(928) 704-4949 Get Directions Write a Review

NPPES record last updated: December 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kikelomo Omotoso NPPES

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

KIKELOMO OMOTOSO (NPI 1700247418) is an individual obstetrics & gynecology provider in Bullhead City, Arizona, licensed in Arizona (8360) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1700247418
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameKIKELOMO OMOTOSO
Location Address2500 CANYON RD, STE A1Bullhead City, AZ 86442
Mailing Address2500 Canyon Rd, Ste A1Bullhead City, AZ 86442 · (928) 704-4499 · Fax (928) 704-4949
Phone(928) 704-4499
Fax(928) 704-4949
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 9, 2016
Last NPPES UpdateDecember 15, 2016
✔ NPI 1700247418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in AZ · 8360
2500 CANYON RD, Bullhead City, AZ 86442
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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

Kikelomo Omotoso 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 ID8426306176
PECOS Enrollment IDI20180813001482
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 86442 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALL WOMEN'S REGIONAL MEDICAL CENTER, PC
Clinic/Center (Primary Care)
2500 CANYON RD, STE A1
BULLHEAD CITY, AZ 86442
Mohave County (928) 704-4499
KATHLEEN ANNE MLEKUSH RDMS, RVT
Radiologic Technologist (Vascular Sonography)
2500 CANYON RD
BULLHEAD CITY, AZ 86442
Mohave County (928) 716-5452
TERESA BORCHERS D.O.
Obstetrics & Gynecology
2500 CANYON RD
BULLHEAD CITY, AZ 86442
Mohave County (928) 704-4499
ALL WOMENS REGIONAL MEDICAL CENTER, P.C.
Obstetrics & Gynecology (Obstetrics)
2500 CANYON RD
BULLHEAD CITY, AZ 86442
Mohave County (928) 704-4499
APRIL JANAE KIMBALL FNP
Nurse Practitioner (Family)
2500 CANYON RD
BULLHEAD CITY, AZ 86442
Mohave County (928) 704-4499
BULLHEAD CITY HOSPITAL CORPORATION
Clinic/Center (Urgent Care)
2500 CANYON RD, BLDG B, UNIT 2
BULLHEAD CITY, AZ 86442
Mohave County (928) 763-2273
JENNIFER DIANE BURNS
Nurse Practitioner (Family)
2500 CANYON RD
BULLHEAD CITY, AZ 86442
Mohave County (928) 704-4499

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 Kikelomo Omotoso's NPI number?

The NPI number for Kikelomo Omotoso is 1700247418. It was assigned to this individual provider in the NPPES registry on March 9, 2016.

Where is Kikelomo Omotoso located?

Kikelomo Omotoso practices at 2500 Canyon Rd Ste A1, Bullhead City, AZ 86442. The listed phone number is (928) 704-4499.

What is Kikelomo Omotoso's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Kikelomo Omotoso enrolled in Medicare?

Yes. Kikelomo Omotoso 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 Kikelomo Omotoso accept?

Health plans from Ambetter from Arizona Complete Health list Kikelomo Omotoso 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 Kikelomo Omotoso was last updated on December 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.