Individual provider Active NPI

Olumide Emmanuel Oluwarotimi

  • Family Nurse Practitioner
  • Crawfordsville, IN
National Provider Identifier
1376430181
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71016759A Issued in IN
Practice address
1641 S US Highway 231
Crawfordsville, IN 47933-9421
Phone
(765) 307-7146
NPI assigned
Jun 23, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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 71016759A IN Primary

Addresses

Primary practice location

1641 S US Highway 231
Crawfordsville, IN 47933-9421

Mailing address

4196 Highway 62 412 Ste a
Hardy, AR 72542-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250630004000 IN Practitioner - Nurse Practitioner 6901319201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Medical Clinic LLCGroup PAC ID 1951721802, 30 clinicians

Practice addresses (Care Compare)

1641 S US Hwy 231
Crawfordsville, IN 47933-9421
Phone (865) 436-2811

Hospital & facility affiliations

  • Franciscan Health Crawfordsville Hospital, Crawfordsville, IN, CCN 150022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71016759AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic LLC CurrentSince May 1, 2025 Accepting new patients
Bradley Bibb MD PLLC CurrentSince Sep 1, 2025 Accepting new patients
Bradley Bibb MD PLLC CurrentSince Sep 1, 2025 Accepting new patients
Access Medical Clinic LLC CurrentSince May 1, 2025 Accepting new patients
Access Medical Clinic LLC Past Accepting new patients

Locations

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

1641 S US Highway 231
Crawfordsvlle, IN 47933
Phone (765) 307-7146

2460 E Wabash St
Frankfort, IN 46041
Phone (765) 357-3800

2311 N State Road 3 Byp
Greensburg, IN 47240
Phone (812) 662-9500

2800 Walmart Dr
Huntington, IN 46750
Phone (260) 200-4950

Interoperability endpoints

  • Direct secure messaging: olumide.oluwarotimi.1@2424.direct.athenahealth.com
  • Direct secure messaging: olumide.oluwarotimi.1@22155.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1376430181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 S US HIGHWAY 231",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479339421",
            "telephone_number": "765-307-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUWAROTIMI",
        "first_name": "OLUMIDE",
        "middle_name": "EMMANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016759A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordsville, IN

Sources for this page

Verify at the official NPI Registry.