OMOTAYO KEHINDE ONANUBOSI FNP-BC
NPI 1750963377
Nurse Practitioner in Nampa, ID

Active since April 23, 2021PECOS Enrolled
12324 S ABBOTT DOWNING WAY, NAMPA, ID 83686(208) 283-7062 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Omotayo Kehinde Onanubosi Fnp-bc NPPES

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

OMOTAYO KEHINDE ONANUBOSI FNP-BC (NPI 1750963377) is an individual nurse practitioner in Nampa, Idaho, licensed in Idaho (2019011415) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750963377
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameOMOTAYO KEHINDE ONANUBOSICredential: FNP-BC
Location Address12324 S ABBOTT DOWNING WAYNampa, ID 83686-5693
Mailing Address12324 S Abbott Downing WayNampa, ID 83686-5693 · (208) 283-7062
Sole ProprietorYes
Enumeration DateApril 23, 2021
NPPES CertifiedApril 22, 2021
✔ NPI 1750963377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ID · 2019011415
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.
12324 S ABBOTT DOWNING WAY, Nampa, ID 83686

Other Names 1

Former Name (1)Omotayo Kehinde Akinremi

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)

Omotayo Kehinde Onanubosi Fnp-bc 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 Omotayo Onanubosi 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, Idaho enrollment
  • 74 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 83686 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 Omotayo Onanubosi's NPI number?

The NPI number for Omotayo Onanubosi is 1750963377. It was assigned to this individual provider in the NPPES registry on April 23, 2021. The provider is also known as Omotayo Kehinde Akinremi.

Where is Omotayo Onanubosi located?

Omotayo Onanubosi practices at 12324 S Abbott Downing Way, Nampa, ID 83686. The listed phone number is (208) 283-7062.

What is Omotayo Onanubosi's specialty?

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

Is Omotayo Onanubosi enrolled in Medicare?

Yes. Omotayo Onanubosi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Omotayo Onanubosi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omotayo Onanubosi reassigns Medicare benefits to Signify Health, LLC (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 Omotayo Onanubosi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omotayo Onanubosi accept?

Health plans from PacificSource Health Plans list Omotayo Onanubosi 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 Omotayo Onanubosi was last updated on April 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.