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

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: November 01, 2026.

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

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 and is a graduate of Other (2024).

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
Medical School CMSOtherGraduated 2024
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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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cornelius Olufarati is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810451713
PECOS Enrollment IDI20260713000068
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 Cornelius Olufarati reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lgbtq Telepsychiatry
798 mi
Psychiatric/Mental Health
1309 COFFEEN AVE STE 1200
Sheridan, WY 82801
  • Reassigned Medicare billing, Oregon enrollment
  • 47 clinicians in this Medicare group
NPI 1336722859 (888) 985-4287

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 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 9

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)
1755 COBURG RD UNIT 301
EUGENE, OR 97401
Lane County (888) 468-9669
KARAINE EZIOLISA RN
Nurse Practitioner (Psychiatric/Mental Health)
1755 COBURG RD UNIT 301
EUGENE, OR 97401
Lane County (541) 632-4850
MINAH KWON CLARK LCSW
Social Worker (Clinical)
1755 COBURG RD UNIT 301
EUGENE, OR 97401
Lane County (888) 468-9669
MR. ELIJAH VOICHISHIN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1755 COBURG RD UNIT 301
EUGENE, OR 97401
Lane County (888) 468-9669
JUSTIN TORRES PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1755 COBURG RD UNIT 301
EUGENE, OR 97401
Lane County (541) 632-4850
MR. RHYS RUTGERS CONGER
Counselor (Mental Health)
1755 COBURG RD UNIT 301
EUGENE, OR 97401
Lane County (541) 632-4850
MRS. PRISCA AKEYO OKETCH
Nurse Practitioner (Psychiatric/Mental Health)
1755 COBURG RD UNIT 301
EUGENE, OR 97401
Lane County (541) 632-4850
OLUWATOYOSI KAFAYAT DASILVA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1755 COBURG RD UNIT 301
EUGENE, OR 97401
Lane County (541) 632-4850

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 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.

Where is Cornelius Olufarati located?

Cornelius Olufarati practices at 1755 Coburg Rd Unit 301, Eugene, OR 97401. The listed phone number is (888) 468-9669.

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.

Is Cornelius Olufarati enrolled in Medicare?

Yes. Cornelius Olufarati is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cornelius Olufarati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cornelius Olufarati reassigns Medicare benefits to Lgbtq Telepsychiatry (Sheridan, WY). 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 Cornelius Olufarati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cornelius Olufarati accept?

Health plans from Blue Cross and Blue Shield of Texas and PacificSource Health Plans list Cornelius Olufarati 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 Cornelius Olufarati was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.