Oluwafisayo Oni, NP – Family Nurse Practitioner

Key facts

NPI: 1295293157
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: AP139405 (TX)
Practice address: 604 N Rockwall Ave
Terrell, TX 75160
Phone: (972) 522-8524
NPI assigned: Mar 8, 2019
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Tulsa Hospital Medicine Physicians Group, LLC Internal Medicine Physician · Tulsa, OK · NPI 1144982711

Medicare reassignment Care Compare group NPD OK
Avid Healthcare Services PA Health Service Clinic/Center · Terrell, TX · NPI 1790248987

NPD

Hospital & facility affiliations 1

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

Ahs Hillcrest Medical Center, LLC General Acute Care Hospital · Tulsa, OK · NPI 1629057229

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2018
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Tulsa Hospital Medicine Physicians Group, LLC (132 clinicians)

Practice addresses (Care Compare)

10502 N 110TH E Ave
Bailey Medical Center
Owasso, OK 74055-6655
Phone (918) 579-2300

1120 S Utica Ave
Hillcrest Medical Center
Tulsa, OK 74104-4012
Phone (918) 579-1000

Hospital & facility affiliations

Hillcrest Medical Center Hospital · Tulsa, OK · CCN 370001

Merit-based Incentive Payment System (MIPS)

Final score: 73.31 of 100 (group)
Improvement activities: 20
Cost: 82.71

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OK
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20230615003527	OK	Practitioner - Nurse Practitioner	5597198820	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
AP139405	TX	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Avid Healthcare Services PA		Current since Sep 25, 2019	Accepting new patients
Tulsa Hospital Medicine Physicians Group, LLC		Current since May 1, 2023	Accepting new patients

Locations

10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000

604 N Rockwall Ave
Terrell, TX 75160
Phone (972) 522-8524

Interoperability endpoints

Direct secure messaging: ooni867719@ahs.direct-ci.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	AP139405	TX	Yes

Addresses

Primary practice location

604 N Rockwall Ave
Terrell, TX 75160

Mailing address

Avid Health Services PA
604 N Rockwall Av
Terrell, TX 75160

Other practice location 1

2727 Bolton Boone Dr Ste 101
DeSoto, TX 75115-2019
Phone (469) 453-2008

Electronic endpoints

Type	Endpoint	Use	Affiliation
Other URL	https://mail.google.com/mail/u/0/?q=megumi#inbox	Direct

Other providers in Terrell, TX

All providers in Terrell, TX · Family Nurse Practitioner in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.