OMOTEZI WILSON APN
NPI 1912686338
Nurse Practitioner - Psychiatric/Mental Health in Voorhees, NJ

Q: What is Omotezi Wilson's NPI number?

The NPI number for Omotezi Wilson is 1912686338. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Q: What is Omotezi Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Omotezi Wilson was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 13, 2023PECOS EnrolledAccepts Medicare Assignment

443 LAUREL OAK RD STE 130, VOORHEES, NJ 08043(856) 857-6920 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2023, Jul 13, 2023 (2 updates tracked since 2023).

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About Omotezi Wilson Apn NPPES

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

OMOTEZI WILSON APN (NPI 1912686338) is an individual psychiatric/mental health provider in Voorhees, New Jersey, licensed in New Jersey (26NJ14848500) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912686338

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameOMOTEZI WILSONCredential: APN

Location Address443 LAUREL OAK RD STE 130Voorhees, NJ 08043-4419

Mailing Address443 Laurel Oak Rd Ste 130Kirkwood, NJ 08043-4419 · (856) 857-6920

Phone(856) 857-6920

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 13, 2023

Last NPPES UpdateAugust 18, 20232 updates tracked since enumeration

NPPES CertifiedAugust 18, 2023

✔ NPI 1912686338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0808X

License✔ Licensed in NJ · 26NJ14848500

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 26NJ14848500 (NJ)

443 LAUREL OAK RD STE 130, Voorhees, NJ 08043

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Secondary Practice Locations 2

Location 1443 Laurel Oak RdVoorhees, NJ 08043-4419 · Phone (844) 542-2273

Location 2159 S Broad StWoodbury, NJ 08096-2410 · Phone (844) 542-2273

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Omotezi Wilson Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901268465

PECOS Enrollment IDI20240709002099

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

83 services46 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08043 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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 3

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

SAHIL PATEL MD

Psychiatry & Neurology (Psychiatry)

443 LAUREL OAK RD STE 130
VOORHEES, NJ 08043

Camden County (856) 857-6920

FRANCES KOPEW CIESIELSKI LCSW

Social Worker (Clinical)

443 LAUREL OAK RD STE 130
KIRKWOOD, NJ 08043

Camden County (856) 857-6920

SAMUEL SONG DO

Student in an Organized Health Care Education/Training Program

443 LAUREL OAK RD STE 130
VOORHEES, NJ 08043

Camden County (609) 820-9062

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 Omotezi Wilson's NPI number?

The NPI number for Omotezi Wilson is 1912686338. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Where is Omotezi Wilson located?

Omotezi Wilson practices at 443 Laurel Oak Rd Ste 130, Voorhees, NJ 08043. The listed phone number is (856) 857-6920.

What is Omotezi Wilson's specialty?

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

Is Omotezi Wilson enrolled in Medicare?

Yes. Omotezi Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Omotezi Wilson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Omotezi Wilson 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.

Is Omotezi Wilson affiliated with any hospitals?

According to CMS data, Omotezi Wilson is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Omotezi Wilson was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.