OLUBUKOLA AWE (NP) – Nurse Practitioner, NPI 1104114149
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,219 NURSE PRACTITIONER in CT
Provider Addresses for OLUBUKOLA AWE (NP)
140 GRANDVIEW AVE STE L01
WATERBURY, CT 067082500
Phone: (203) 574-4187
Fax: (203) 575-2153
Type: Location
19201 E Valley View Pkwy
Ste G
Independence, MO 640556910
Phone: (816) 254-2552
Fax: (816) 833-4155
Type: Location
19201 E VALLEY VIEW PKWY
STE G
INDEPENDENCE, MO 640556910
Phone: (816) 254-2552
Fax: (816) 833-4155
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $728.
Total Amount is formed as General ($728) + Research ($0) + Ownership ($0) = $728.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Gilead Sciences, Inc. ($396).
Total Amount
$728
General + Research + Ownership
Payments
18
Total payment records
General Amount
$728
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $396 |
| ViiV Healthcare Company | $312 |
| Exact Sciences Corporation | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-09-25
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170925000124 | I | Nurse Practitioner | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06708)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | CT | |
| Clinical Social Worker | CT | |
| Clinical Social Worker | CT | |
| - | CT | |
| Clinical Social Worker | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT |
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