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MRS. OMOLARA TITILAYO TAIWO APRN
NPI 1912848029
Nurse Practitioner - Family in Hartford, CT

Active since April 02, 2026PECOS Enrolled
45 ANDOVER ST, HARTFORD, CT 06112(860) 882-4395(855) 624-1629 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 5, 2026, Apr 2, 2026 (2 updates tracked since 2026).

About Mrs. Omolara Titilayo Taiwo Aprn NPPES

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

MRS. OMOLARA TITILAYO TAIWO APRN (NPI 1912848029) is an individual family provider in Hartford, Connecticut, licensed in Connecticut (17153) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1912848029
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. OMOLARA TITILAYO TAIWOCredential: APRN
Location Address45 ANDOVER STHartford, CT 06112-1402
Mailing Address45 Andover StHartford, CT 06112-1402 · (860) 882-4395 · Fax (855) 624-1629
Phone(860) 882-4395
Fax(855) 624-1629
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 2, 2026
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1912848029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 17153
Also ListedRegistered NurseTaxonomy 163W00000X · License 194164 (CT)
45 ANDOVER ST, Hartford, CT 06112
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Omolara Titilayo Taiwo Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587123815
PECOS Enrollment IDI20260827001460
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 Omolara Taiwo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Proactive Health Care Management,llc
43 mi
Adult Health
46 SOUNDVIEW AVE
Milford, CT 06460
  • Reassigned Medicare billing, Connecticut enrollment
  • 60 clinicians in this Medicare group
NPI 1811641145 (203) 895-4360

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 06112 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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

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

KAYMOL CARE SOLUTIONS
Nurse Practitioner (Family)
45 ANDOVER ST
HARTFORD, CT 06112
Capitol Planning Region (860) 986-8908

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 Omolara Taiwo's NPI number?

The NPI number for Omolara Taiwo is 1912848029. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Where is Omolara Taiwo located?

Omolara Taiwo practices at 45 Andover St, Hartford, CT 06112. The listed phone number is (860) 882-4395.

What is Omolara Taiwo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Omolara Taiwo enrolled in Medicare?

Yes. Omolara Taiwo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Omolara Taiwo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omolara Taiwo reassigns Medicare benefits to Proactive Health Care Management,llc (Milford, CT). 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 Omolara Taiwo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Omolara Taiwo was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.