CORNELIUS OLUFARATI
NPI 1770464778
Nurse Practitioner - Psychiatric/Mental Health in Eugene, OR

Q: What is Cornelius Olufarati's NPI number?

The NPI number for Cornelius Olufarati is 1770464778. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Q: What is Cornelius Olufarati's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since September 08, 2025PECOS Enrolled

1755 COBURG RD UNIT 301, EUGENE, OR 97401(888) 468-9669(541) 632-4858 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2026, Apr 8, 2026, Sep 8, 2025 (3 updates tracked since 2025).

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About Cornelius Olufarati NPPES

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

CORNELIUS OLUFARATI (NPI 1770464778) is an individual psychiatric/mental health provider in Eugene, Oregon, licensed in Texas (1206232) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770464778

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameCORNELIUS OLUFARATI

Location Address1755 COBURG RD UNIT 301Eugene, OR 97401-4900

Mailing Address110 Bower Bloom DrRosharon, TX 77583-1690 · (832) 817-9313

Phone(888) 468-9669

Fax(541) 632-4858

Sole ProprietorYes

Enumeration DateSeptember 8, 2025

Last NPPES UpdateJune 2, 20263 updates tracked since enumeration

NPPES CertifiedJune 2, 2026

✔ NPI 1770464778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · 1206232

1755 COBURG RD UNIT 301, Eugene, OR 97401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cornelius Olufarati 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 97401 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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 10

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

JONATHAN SHAW PMHNP

Nurse Practitioner (Psychiatric/Mental Health)