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OMOTAYO THERESA GBENGAOJO APRN
NPI 1972201895
Nurse Practitioner - Psychiatric/Mental Health in Mansfield, TX

Active since February 20, 2023PECOS EnrolledAccepts Medicare Assignment
1475 HERITAGE PKWY STE 209, MANSFIELD, TX 76063(817) 523-8812 Get Directions Write a Review

NPPES record last updated: May 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2025, Feb 20, 2023 (2 updates tracked since 2023).

About Omotayo Theresa Gbengaojo Aprn NPPES

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

OMOTAYO THERESA GBENGAOJO APRN (NPI 1972201895) is an individual psychiatric/mental health provider in Mansfield, Texas, licensed in Texas (1110419) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1972201895
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameOMOTAYO THERESA GBENGAOJOCredential: APRN
Location Address1475 HERITAGE PKWY STE 209Mansfield, TX 76063-2740
Mailing Address1312 Lawnview DrForney, TX 75126-1308 · (903) 922-5944
Phone(817) 523-8812
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 20, 2023
Last NPPES UpdateMay 26, 20252 updates tracked since enumeration
NPPES CertifiedMay 26, 2025
✔ NPI 1972201895 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 · 1110419
1475 HERITAGE PKWY STE 209, Mansfield, TX 76063
Open in Google Maps ↗

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 and accepts Medicare assignment

Omotayo Theresa Gbengaojo Aprn 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 ID3173985470
PECOS Enrollment IDI20230818000869
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 4

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
85 services38 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
71 services24 patients
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.
47 services15 patients
Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
42 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76063 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

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

REHOBOTH MENTAL HEALTH AND PSYCHIATRY PLLC
Nurse Practitioner (Psychiatric/Mental Health)
1475 HERITAGE PKWY STE 209
MANSFIELD, TX 76063
Tarrant County (817) 523-8812

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 Omotayo Gbengaojo's NPI number?

The NPI number for Omotayo Gbengaojo is 1972201895. It was assigned to this individual provider in the NPPES registry on February 20, 2023.

Where is Omotayo Gbengaojo located?

Omotayo Gbengaojo practices at 1475 Heritage Pkwy Ste 209, Mansfield, TX 76063. The listed phone number is (817) 523-8812.

What is Omotayo Gbengaojo's specialty?

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

Is Omotayo Gbengaojo enrolled in Medicare?

Yes. Omotayo Gbengaojo 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 Omotayo Gbengaojo 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 6 other insurers list Omotayo Gbengaojo 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 Omotayo Gbengaojo was last updated on May 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.