Individual provider Active NPI

Olawale Musbau Bankole, NP

  • Family Nurse Practitioner
  • Denton, TX
National Provider Identifier
1356096101
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1069538 Issued in TX
Practice address
7613 Alders Gate LN
Denton, TX 76208-1575
Phone
(817) 724-4584
NPI assigned
Feb 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1069538 TX Primary

Addresses

Primary practice location

7613 Alders Gate LN
Denton, TX 76208-1575

Mailing address

7613 Alders Gate LN
Denton, TX 76208-1575
Phone (817) 724-4584

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
I20220504000449 TX Practitioner - Nurse Practitioner 8527455997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.78 of 100Reported as group
Quality
95
Improvement activities
40
Cost
55.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1069538TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kap Geri Dok PLLC CurrentSince Apr 10, 2022 Accepting new patients

Locations

5440 Harvest Hill Rd
Ste 182B
Dallas, TX 75230
Phone (214) 348-7611

1801 N Hampton Rd
Ste 333
Desoto, TX 75115
Phone (972) 255-7668

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1356096101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7613 ALDERS GATE LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762081575",
            "telephone_number": "817-724-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7613 ALDERS GATE LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762081575",
            "telephone_number": "817-724-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKOLE",
        "first_name": "OLAWALE",
        "middle_name": "MUSBAU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1069538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.