Active NPI
Oluwakemi Suliat Aderibigbe, AGACNP-BC
- Acute Care Nurse Practitioner
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1171298
- Practice address
- 504 Medical Center Blvd
Conroe, TX 77304-2808 - Phone
- (936) 539-1111
- NPI assigned
- Sep 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1171298 | TX | |
| Acute Care Nurse Practitioner | 363LA2100X | 1171298 | TX | Primary |
Addresses
Primary practice location
504 Medical Center Blvd
Conroe, TX 77304-2808
Mailing address
504 Medical Center Blvd
Conroe, TX 77304-2808
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241127003293 | TX | Practitioner - Nurse Practitioner | 5294260287 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cogent Healthcare of Texas PALone Star Intensivists at Gulf Coast, PLLC
Practice addresses (Care Compare)
3801 N Lamar Blvd
Heart Hospital of Austin
Austin, TX 78756-4080
Phone (512) 407-7000
504 Medical Ctr Blvd
Conroe, TX 77304-2808
Phone (936) 539-1111
Hospital & facility affiliations
- HCA Houston Healthcare Conroe
- Round Rock Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1171298 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lone Star Intensivists at Gulf Coast, PLLC | Current | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111
12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444
Interoperability endpoints
- oluwakemi.aderibigbe@hca2.eclinicaldirectplus.com
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Webster, TX
- NPI 1528558236
TX
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Round Rock, TX
- NPI 1649223645
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1649006289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 MEDICAL CENTER BLVD",
"city": "CONROE",
"state": "TX",
"postal_code": "773042808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 MEDICAL CENTER BLVD",
"city": "CONROE",
"state": "TX",
"postal_code": "773042808",
"telephone_number": "936-539-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADERIBIGBE",
"first_name": "OLUWAKEMI",
"middle_name": "SULIAT",
"credential": "AGACNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-10",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "1171298",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1171298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.