Individual provider Active NPI

Oluyomi Owolabi Akindele

  • Psychiatric/Mental Health Nurse Practitioner
  • Big Spring, TX
National Provider Identifier
1053298703
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1033702 Issued in TX
Practice address
1601 W 11TH PL
Big Spring, TX 79720-4114
Phone
(432) 268-4760
NPI assigned
Aug 16, 2025
Last updated
Aug 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1033702 TX Primary

Addresses

Primary practice location

1601 W 11TH PL
Big Spring, TX 79720-4114

Mailing address

3212 Fordham Ave
Big Spring, TX 79720-3531
Phone (432) 250-1853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250929003198 TX Practitioner - Nurse Practitioner 3375049430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
Big Bend Medical GroupGroup PAC ID 2163326281, 46 clinicians

Practice addresses (Care Compare)

1601 W 11TH PL
Big Spring, TX 79720-4114
Phone (432) 268-4880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1033702TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Big Bend Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Big Bend Medical Group CurrentSince Sep 1, 2025 Accepting new patients

Locations

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

1608 W FM 700
Ste C
Big Spring, TX 79720
Phone (432) 263-7700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755302400000",
    "number": "1053298703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 FORDHAM AVE",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797203531",
            "telephone_number": "432-250-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W 11TH PL",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204114",
            "telephone_number": "432-268-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINDELE",
        "first_name": "OLUYOMI",
        "middle_name": "OWOLABI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-16",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1033702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.