Iyen Omoragbon, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP126757 Issued in TX

Practice address

4157 Bedford Rd Ste 200
Bedford, TX 76021-5228

Phone

(469) 949-6080

Fax

(972) 634-1038

NPI assigned

Nov 10, 2014

Sex

Male

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Joiyen Medical PLLCGroup PAC ID 3971968546, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: iyen.omoragbon.1@29523.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/29523/brand/1/csg/1/fhir/r4

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

• Joiyen Medical, PLLC

  • Clinic/Center
  • Bedford, TX
  • NPI 1801521786

  Family

  Medicare reassignment Care Compare group NPD Authorized official
• Primamed Physicians PLLC

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1164494068
  Medicare reassignment NPD
• Joiyen Medical, PLLC

  • Urgent Care Clinic/Center
  • Bedford, TX
  • NPI 1922991165

  Family

  NPD Authorized official
• Citimed, P.a.

  • Family Medicine Physician
  • Arlington, TX
  • NPI 1487823316
  NPD (past)
• Medspring of Texas, PA

  • Urgent Care Clinic/Center
  • Austin, TX
  • NPI 1811286354
  NPD (past)
• Primamed Physicians PLLC

  • Urgent Care Clinic/Center
  • Plano, TX
  • NPI 1619922549
  NPD (past)
• St. David'S Carenow Urgent Care PLLC

  • Family Medicine Physician
  • Austin, TX
  • NPI 1851844104
  NPD (past)

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1275939761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E FM 544 STE 72",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944035",
            "telephone_number": "469-949-6080",
            "fax_number": "972-634-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4157 BEDFORD RD STE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215228",
            "telephone_number": "469-949-6080",
            "fax_number": "972-634-1038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18383 Preston Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752525487",
            "country_code": "US",
            "telephone_number": "469-949-6080",
            "fax_number": "972-634-1038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMORAGBON",
        "first_name": "IYEN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-10",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optima Afya Clinic LLC

• Family Nurse Practitioner in Bedford, TX
• Providers in Bedford, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.