Adebukola Obasanya

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP140289 Issued in TX

Practice address

307 S McDonald St Ste 500
McKinney, TX 75069-5625

Phone

(469) 202-7572

Fax

(469) 329-1044

NPI assigned

Jun 19, 2019

Sex

Female

Sole proprietor

No

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Collin Medical and Wellness Group PLLCGroup PAC ID 4587080593, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drbuki@cmwgp-tx.direct.office.nextgen.com
• FHIR API: https://api.platform.athenahealth.com/25728/brand/1/csg/1/fhir/r4

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Dover Healthcare Services LLC

  • Home Health Agency
  • McKinney, TX
  • NPI 1144257940

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

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.

• Collin Medical & Wellness Group PLLC

  • Family Nurse Practitioner
  • Rowlett, TX
  • NPI 1134730534
  Medicare reassignment Care Compare group NPD Authorized official
• Acom Healthcare Services, LLC

  • Home Health Agency
  • McKinney, TX
  • NPI 1871029850
  NPD Authorized official
• Dover Healthcare Services LLC

  • Home Health Agency
  • McKinney, TX
  • NPI 1144257940
  NPD Authorized official
• Crystal Mind Psychiatry and Counseling

  • Psychiatric/Mental Health Nurse Practitioner
  • McKinney, TX
  • NPI 1962185769
  NPD

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1356901581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 W PIONEER PKWY STE 120",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514861",
            "telephone_number": "972-642-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S MCDONALD ST STE 500",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750695625",
            "telephone_number": "469-202-7572",
            "fax_number": "469-329-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBASANYA",
        "first_name": "ADEBUKOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• O'Hara Flying Services II LP
• Maddison Macy O'Loughlin, COTA/L
• David O'Ragon
• O&M Home Care LLC
• Eric Obarogie
• Obiako Medical Supply
• Julius Osabor Obianke
• Obikel Transportation LLC
• Obisesan Transitions MHT PLLC
• Jane Elizabeth Obrien, LCDC

• Family Nurse Practitioner in McKinney, TX
• Providers in McKinney, 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 Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.