Omoyemi Kiyesi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP029681 Issued in PA

Practice address

2250 Hickory Rd Ste 140
Plymouth Meeting, PA 19462-1047

Phone

(610) 379-2904

Fax

(610) 840-0528

NPI assigned

Jun 13, 2024

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 PA

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restore First Health PennGroup PAC ID 8820435316, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: omoyemi.kiyesi.1@28696.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.

• Restore First Health Penn

  • General Practice Physician
  • Plymouth Meeting, PA
  • NPI 1437929304
  Medicare reassignment Care Compare group NPD
• Geps Physician Group of Pennsylvania PC

  • Internal Medicine Physician
  • Kennett Square, PA
  • NPI 1467471615

  Family

  Medicare reassignment NPD
• Alignmed Medical Group, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Baltimore, MD
  • NPI 1366289423

  PA

  Medicare reassignment NPD
• Alignmed Partners, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  PA

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  PA

  Medicare reassignment NPD
• Geps Physician Group of Pennsylvania, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Avondale, AZ
  • NPI 1851774897
  NPD

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1831932268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37492",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151216",
            "telephone_number": "610-379-2904",
            "fax_number": "610-840-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HICKORY RD STE 140",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621047",
            "telephone_number": "610-379-2904",
            "fax_number": "610-840-0528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Eagleview Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193411190",
            "country_code": "US",
            "telephone_number": "610-321-2701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIYESI",
        "first_name": "OMOYEMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Kipphut, CNA
• Derrick B Kirima
• Rachael Kirumba, LPN
• Susan Kissel
• Hellen Wamuyu Kiumu, LPN
• Amy Elizabeth Klaus, PTA
• Amelia ZN Klee
• Timothy Klein
• Dorothy Klemas, D.C.
• Beth Klepacki

• Family Nurse Practitioner in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.

Verify at the official NPI Registry.