Individual provider Active NPI

Bola Olasunkanmi Jaiyeola, NP

  • Critical Care Medicine Nurse Practitioner
  • Midland, TX
National Provider Identifier
1235605064
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
AP139389 Issued in TX
Practice address
400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-6499
Phone
(432) 221-1111
NPI assigned
Oct 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X AP139389 TX Primary

Addresses

Primary practice location

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-6499

Mailing address

4214 Andrews Hwy Ste 240
Midland, TX 79703-4817
Phone (432) 221-4243

Other practice location 1

2006 Health Campus Dr Ste 200
Rockingham, VA 22801-8679
Phone (540) 689-5800

Other practice location 2

24218 Silversmith Ln
Katy, TX 77493-2683
Phone (281) 644-7000

Other practice location 3

400 Sentara Cir
Williamsburg, VA 23188-5716
Phone (757) 984-3975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY, VA, OK4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190516002666 TX Practitioner - Nurse Practitioner 8426391368 Reassigns benefits to 2 organizations
I20210422002259 NY Practitioner - Nurse Practitioner 8426391368 Reassigns benefits to 3 organizations
I20240319000315 VA Practitioner - Nurse Practitioner 8426391368 Reassigns benefits to 2 organizations
I20250404003270 OK Practitioner - Nurse Practitioner 8426391368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians
Premier Family Care I IncGroup PAC ID 2567351372, 71 clinicians

Practice addresses (Care Compare)

2006 Health Campus Dr
Suite 200
Rockingham, VA 22801-8679
Phone (540) 689-5555

3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3141

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846
Phone (432) 686-6605

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
346238NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
MMH Physicians CurrentSince Nov 14, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Mar 21, 2022 Accepting new patients
RMH Medical Group LLC CurrentSince Jul 1, 2025 Accepting new patients
Sentara Medical Group Pediatrics CurrentSince Sep 23, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Mar 21, 2022 Accepting new patients
RMH Medical Group LLC CurrentSince Jul 1, 2025 Accepting new patients
Integris Ambulatory Care Corporation Pediatrics CurrentSince Apr 13, 2025 Accepting new patients
Premier Family Care I, Inc Pediatrics CurrentSince Oct 1, 2025 Accepting new patients
Critical Care Physician of New York PC Nurse Practitioner CurrentSince Mar 1, 2022 Accepting new patients
Emergency Physician Services of New York, P.C. CurrentSince May 1, 2021 Accepting new patients
Excell Pediatrics Pediatrics Past Accepting new patients
Ut Physicians Pediatrics Past Accepting new patients
Premier Physicians Past Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Past Accepting new patients
Westchester Medical Center Past Accepting new patients

Locations

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

4214 Andrews Hwy
Ste 240
Midland, TX 79703
Phone (432) 686-6605

400 Rosalind Redfern Grover Pkwy
Ste 100
Midland, TX 79701
Phone (432) 687-1949

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2006 Health Campus Dr
Ste 200
Rockingham, VA 22801
Phone (540) 689-5555

400 Sentara Cir
Ste 201A
Williamsburg, VA 23188
Phone (757) 984-3975

400 Sentara Cir
Williamsburg, VA 23188
Phone (757) 345-4080

Interoperability endpoints

  • Direct secure messaging: bjaiyeola849646@direct.sentara.net
  • FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1235605064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 240",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034817",
            "telephone_number": "432-221-4243",
            "fax_number": "432-221-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROSALIND REDFERN GROVER PKWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016499",
            "telephone_number": "432-221-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2006 Health Campus Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "VA",
            "postal_code": "228018679",
            "country_code": "US",
            "telephone_number": "540-689-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24218 Silversmith Ln",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774932683",
            "country_code": "US",
            "telephone_number": "281-644-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Sentara Cir",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885716",
            "country_code": "US",
            "telephone_number": "757-984-3975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIYEOLA",
        "first_name": "BOLA",
        "middle_name": "OLASUNKANMI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-19",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TX",
            "license": "AP139389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.