Olabisi Oluseun Agbaje, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP135050 Issued in TX

Practice address

135 River North Blvd
Stephenville, TX 76401-1804

Phone

(254) 965-2810

Fax

(866) 298-9572

NPI assigned

Sep 26, 2017

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

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: olabisi.agbaje.1@6815.direct.athenahealth.com

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.

• Regional Physician Services of Texas, P.a.

  • Nurse Practitioner
  • Abilene, TX
  • NPI 1043529944
  Medicare reassignment NPD
• Texas Medicine Resources, LLP

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1376581900
  Medicare reassignment NPD
• Stephens Memorial Hospital District

  • Urgent Care Clinic/Center
  • Breckenridge, TX
  • NPI 1518361369
  Medicare reassignment
• Stephens Memorial Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Breckenridge, TX
  • NPI 1205257029
  NPD
• Stephens Memorial Hospital District

  • Rural Health Clinic/Center
  • Breckenridge, TX
  • NPI 1336560382
  NPD
• Goto Lab Express Texas LLC

  • Clinical Medical Laboratory
  • Irving, TX
  • NPI 1558869438
  NPD (past)

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730698317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W REYNOSA AVE",
            "city": "DE LEON",
            "state": "TX",
            "postal_code": "764441630",
            "telephone_number": "254-893-5895",
            "fax_number": "866-298-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 RIVER NORTH BLVD",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011804",
            "telephone_number": "254-965-2810",
            "fax_number": "866-298-9572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14016 Sparrow Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Little Elm",
            "state": "TX",
            "postal_code": "750684949",
            "country_code": "US",
            "telephone_number": "407-491-7215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14016 Sparrow Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Little Elm",
            "state": "TX",
            "postal_code": "750684949",
            "country_code": "US",
            "telephone_number": "407-491-7215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 S Park Dr",
            "address_purpose": "LOCATION",
            "city": "Brownwood",
            "state": "TX",
            "postal_code": "768015918",
            "country_code": "US",
            "telephone_number": "325-646-0704",
            "fax_number": "866-247-6022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 W Reynosa Ave",
            "address_purpose": "LOCATION",
            "city": "DE Leon",
            "state": "TX",
            "postal_code": "764441630",
            "country_code": "US",
            "telephone_number": "254-893-5895",
            "fax_number": "866-247-6022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3804 Highway 377 S",
            "address_purpose": "LOCATION",
            "city": "Brownwood",
            "state": "TX",
            "postal_code": "768015120",
            "country_code": "US",
            "telephone_number": "325-643-5167",
            "fax_number": "866-247-6022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGBAJE",
        "first_name": "OLABISI",
        "middle_name": "OLUSEUN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 108 Stephenville Emergency Care
• Amru Musa Abualneel, DO
• Phillip G Adams, O.D.
• Aegis Group Practice LLC
• Asma Ahmed, M.D.
• Amy Kay Akin, DC
• Kathy Allen, SLP
• Alpha Performance and Spine, Inc
• Diane M Andreatta, COTA

• Family Nurse Practitioner in Stephenville, TX
• Providers in Stephenville, 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 Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.