Individual provider Active NPI

Yejide Oludare, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Big Spring, TX
National Provider Identifier
1922657287
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP142802 Issued in TX
Practice address
409 Runnels St # 104
Big Spring, TX 79720-2529
Phone
(432) 263-0007
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP75717 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP142802 TX Primary

Addresses

Primary practice location

409 Runnels St # 104
Big Spring, TX 79720-2529

Mailing address

721 Thompson Dr
Kerrville, TX 78028-5154
Phone (830) 896-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191119000489 TX Practitioner - Nurse Practitioner 7113246109 Reassigns benefits to 6 organizations
I20250707002703 NM Practitioner - Nurse Practitioner 7113246109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Texas Centers for MHMRGroup PAC ID 3971587502, 14 clinicians

Practice addresses (Care Compare)

1501 W 11TH PL
Suite 104
Big Spring, TX 79720-4122
Phone (432) 263-0027

6800 Park Ten Blvd
San Antonio, TX 78213-4293
Phone (210) 261-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP75717NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mypsych Mental Health, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Inquest Mental Wellness PLLC Psychiatric/Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Inquest Primary Care Services PLLC Psychiatric/Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jun 23, 2025 Accepting new patients
Bexar County Board of Trustees for Mental Health Mental Retardation CurrentSince Oct 13, 2025 Accepting new patients
Insight Mental Wellness PA Psychiatric/Mental Health CurrentSince Sep 15, 2025 Accepting new patients
West Texas Centers for MHMR CurrentSince Dec 2, 2024 Accepting new patients
Medvon Medical Clinic Professional Corporation PastSince Sep 15, 2025 Accepting new patients
Yejide Olusola Oludare PastSince Feb 9, 2015 Accepting new patients

Locations

500 Marquette Ave NW
Albuquerque, NM 87102
Phone (505) 522-7750

1501 W 11th Pl
Ste 104
Big Spring, TX 79720
Phone (432) 263-0027

409 Runnels St
Big Spring, TX 79720
Phone (432) 264-2650

409 Runnels St
#104
Big Spring, TX 79720
Phone (432) 263-0007

700 W Daggett St
Ste 4
Pecos, TX 79772
Phone (432) 447-2628

10807 Perrin Beitel Rd
Ste 300
San Antonio, TX 78217
Phone (210) 245-7862

8407 Bandera Rd
Ste 103
San Antonio, TX 78250
Phone (210) 549-8071

12915 Jones Maltsberger Rd
Ste 102
San Antonio, TX 78247
Phone (210) 245-7862

18911 Hardy Oak Blvd
Ste 139
San Antonio, TX 78258
Phone (210) 461-1216

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

6800 Park Ten Blvd
Ste 200S
San Antonio, TX 78213
Phone 21026110001060

304 W New Mexico Ave
Sweetwater, TX 79556
Phone (325) 236-6619

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1922657287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 THOMPSON DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285154",
            "telephone_number": "830-896-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 RUNNELS ST # 104",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797202529",
            "telephone_number": "432-263-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUDARE",
        "first_name": "YEJIDE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "NP75717",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP142802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.