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IYABO MERCY OMIDIWURA APRN-CNP
NPI 1750864799
Nurse Practitioner in Stafford, TX

Active since September 14, 2018PECOS Enrolled
4800 SUGAR GROVE BLVD STE 250, STAFFORD, TX 77477(832) 554-6773 Get Directions Write a Review

NPPES record last updated: May 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2026, Dec 16, 2025, Dec 17, 2022 and 1 more (4 updates tracked since 2018).

About Iyabo Mercy Omidiwura Aprn-cnp NPPES

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

IYABO MERCY OMIDIWURA APRN-CNP (NPI 1750864799) is an individual nurse practitioner in Stafford, Texas, licensed in Texas (1100163) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1750864799
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameIYABO MERCY OMIDIWURACredential: APRN-CNP
Location Address4800 SUGAR GROVE BLVD STE 250Stafford, TX 77477-2639
Mailing Address4800 Sugar Grove Blvd Ste 250Stafford, TX 77477-2639 · (832) 554-6773
Phone(832) 554-6773
Sole ProprietorNo
Enumeration DateSeptember 14, 2018
Last NPPES UpdateMay 3, 20264 updates tracked since enumeration
NPPES CertifiedMay 3, 2026
✔ NPI 1750864799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in TX · 1100163✔ Licensed in MD · AC008119
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 952285 (TX)
4800 SUGAR GROVE BLVD STE 250, Stafford, TX 77477
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Secondary Practice Locations 3

Location 110440 Little Patuxent Pkwy Ste 300Columbia, MD 21044-3648 · Phone (888) 731-8994
Location 2325 N Saint Paul St Ste 3100Dallas, TX 75201-3923 · Phone (888) 731-8994
Location 3999 18th St Ste 3000Denver, CO 80202-2449 · Phone (888) 731-8994

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Iyabo Mercy Omidiwura Aprn-cnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77477 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.

Other Providers at the Same Location NPPES 2

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

MERIWOOD LIMITED LIABILITY COMPANY
Home Health
4800 SUGAR GROVE BLVD STE 250
STAFFORD, TX 77477
Fort Bend County (832) 554-6773
PRIMA MEDICAL GROUP PLLC
General Practice
4800 SUGAR GROVE BLVD STE 250
STAFFORD, TX 77477
Fort Bend County (832) 554-6773

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 Iyabo Omidiwura's NPI number?

The NPI number for Iyabo Omidiwura is 1750864799. It was assigned to this individual provider in the NPPES registry on September 14, 2018.

Where is Iyabo Omidiwura located?

Iyabo Omidiwura practices at 4800 Sugar Grove Blvd Ste 250, Stafford, TX 77477. The listed phone number is (832) 554-6773.

What is Iyabo Omidiwura's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Iyabo Omidiwura enrolled in Medicare?

Yes. Iyabo Omidiwura is registered in the Medicare PECOS enrollment system.

What insurance does Iyabo Omidiwura accept?

Health plans from Blue Cross and Blue Shield of Texas list Iyabo Omidiwura 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 Iyabo Omidiwura was last updated on May 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.