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OSAYOMWANBO OMORODION NP
NPI 1790535359
Nurse Practitioner in Fort Worth, TX

Active since March 26, 2024PECOS Enrolled
4400 OAK PARK LN, FORT WORTH, TX 76109(817) 985-7772 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Osayomwanbo Omorodion Np NPPES

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

OSAYOMWANBO OMORODION NP (NPI 1790535359) is an individual nurse practitioner in Fort Worth, Texas, licensed in Texas (1170843) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790535359
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameOSAYOMWANBO OMORODIONCredential: NP
Location Address4400 OAK PARK LNFort Worth, TX 76109-9534
Mailing Address4400 Oak Park LnFort Worth, TX 76109-9534
Phone(817) 985-7772
Sole ProprietorYes
Enumeration DateMarch 26, 2024
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
✔ NPI 1790535359 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
License✔ Licensed in TX · 1170843
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 0024189795 (VA)
4400 OAK PARK LN, Fort Worth, TX 76109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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)

Osayomwanbo Omorodion Np 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 76109 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

MEDICAL EDGE HEALTHCARE GROUP PA
Clinic/Center (Sleep Disorder Diagnostic)
4400 OAK PARK LN
FORT WORTH, TX 76109
Tarrant County (972) 506-7800
KELLY MCDANIEL CCC-SLP
Speech-Language Pathologist
4400 OAK PARK LN
FORT WORTH, TX 76109
Tarrant County (469) 892-7500
SHEA ROLLINS MA, BCBA
Behavior Analyst
4400 OAK PARK LN
FORT WORTH, TX 76109
Tarrant County (469) 892-7500
SARAH YOUSSEF OTR/L
Occupational Therapist
4400 OAK PARK LN
FORT WORTH, TX 76109
Tarrant County (469) 892-7500
STRATEGIC MEDICAL GROUP TX PLLC
Clinic/Center (Primary Care)
4400 OAK PARK LN
FORT WORTH, TX 76109
Tarrant County (817) 438-1586
STUART CHARLES PICKELL MD
Internal Medicine
4400 OAK PARK LN
FORT WORTH, TX 76109
Tarrant County (817) 985-7772
ASTY CARLETTE DUVERSONNE
Nurse Practitioner (Family)
4400 OAK PARK LN
FORT WORTH, TX 76109
Tarrant County (817) 985-7772
PALLAVI REDDY KAMJULA M.D.
Internal Medicine
4400 OAK PARK LN
FORT WORTH, TX 76109
Tarrant County (817) 985-7772

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 Osayomwanbo Omorodion's NPI number?

The NPI number for Osayomwanbo Omorodion is 1790535359. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Osayomwanbo Omorodion located?

Osayomwanbo Omorodion practices at 4400 Oak Park Ln, Fort Worth, TX 76109. The listed phone number is (817) 985-7772.

What is Osayomwanbo Omorodion's specialty?

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

Is Osayomwanbo Omorodion enrolled in Medicare?

Yes. Osayomwanbo Omorodion is registered in the Medicare PECOS enrollment system.

What insurance does Osayomwanbo Omorodion accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Osayomwanbo Omorodion 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 Osayomwanbo Omorodion was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.