Abosede Oyeronke Oyedele, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1111790 Issued in TX

Practice address

3208 Willow Brook Dr
Mansfield, TX 76063-2077

Phone

(256) 337-5745

NPI assigned

Mar 8, 2023

Last updated

Mar 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kryskay Psychiatry PLLCGroup PAC ID 8527439405, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Kryskay Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hurst, TX
  • NPI 1508570706
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1164122008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 WILLOW BROOK DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632077",
            "telephone_number": "256-337-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 WILLOW BROOK DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632077",
            "telephone_number": "256-337-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEDELE",
        "first_name": "ABOSEDE",
        "middle_name": "OYERONKE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1111790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nwamaka Ossai, PHARMD
• Sylvia Otieno, PMHNP
• Out of Step Investments, Inc (Pearle Vision)
• Brandi Aleece Ownby, M.S., LPC-S
• Mathias Owusu
• P-MGMT-T Incorporated
• Pedro Pacheco, MD
• Sarocha Padee
• Pain Management Associates of Texas
• Pain Management Physicians of Dallas PLLC (Dallas Pain Consultants)

• Psychiatric/Mental Health Nurse Practitioner in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.