DR. OMOTAYO ELIZABETH AWUJOOLA (NURSE PRACTITIONER) – Psychiatric/Mental Health Nurse Practitioner, NPI 1194932392

DR. OMOTAYO ELIZABETH AWUJOOLA (NURSE PRACTITIONER) is a healthcare provider. based in Old saybrook, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 26NJ00675000 (NJ). The NPI Number for DR. OMOTAYO ELIZABETH AWUJOOLA (NURSE PRACTITIONER) is 1194932392

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. OMOTAYO ELIZABETH AWUJOOLA (NURSE PRACTITIONER)
NPI
1194932392
Phone
(800) 370-3651
Address
20 RESEARCH PKWY
Enumeration Date
17 May 2007
Last Update Date
31 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9732956335
Graduation Year
2016 (10 years ago)
PAC ID
8426333774
Group Practice PAC ID
7719013267
Professional Enrollment ID
I20170328002804
Address ID
NJ079271106CE14XXXAVEX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

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Provider Addresses for DR. OMOTAYO ELIZABETH AWUJOOLA (NURSE PRACTITIONER)

  • 20, Research Parkway, Old Saybrook, Middlesex County, Connecticut, 06475, United States

    OLD SAYBROOK, CT 064754214

    Phone: (800) 370-3651

    Fax: (860) 510-0020

    Type: Mailing

  • 20, Research Parkway, Old Saybrook, Lower Connecticut River Valley Planning Region, Connecticut, 06475, United States

    OLD SAYBROOK, CT 06475

    Phone: (800) 370-3651

    Fax: (860) 370-3651

    Type: Location

  • 100 Bowman Dr Fl 1

    Voorhees, NJ 080439612

    Phone: (856) 247-3000

    Fax: (856) 247-2597

    Type: Location

  • 175 Madison Ave

    Mount Holly, NJ 080602099

    Phone: (609) 914-6000

    Fax: (609) 914-6182

    Type: Location

  • 90 Brick Rd Fl 3

    Marlton, NJ 080532177

    Phone: (856) 355-6000

    Fax: (856) 355-6731

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $341.

Total Amount is formed as General ($341) + Research ($0) + Ownership ($0) = $341.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($202).

Total Amount

$341

General + Research + Ownership

Payments

6

Total payment records

General Amount

$341

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-03-28

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170328002804INurse PractitionerNJTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes562216$0
90792Psychiatric diagnostic evaluation with medical services224222$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes18968$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2215$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 06475)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719013267View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Physician AssistantNJ
-NJ
Nurse PractitionerPA
Nurse PractitionerNJ
Geriatric Psychiatry, Psychiatry, PsychiatryNJ
-NJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What federal number belongs to DR. OMOTAYO ELIZABETH AWUJOOLA (NURSE PRACTITIONER)?
The federal identifier for DR. OMOTAYO ELIZABETH AWUJOOLA (NURSE PRACTITIONER) is NPI 1194932392.
Does this profile mean DR. OMOTAYO ELIZABETH AWUJOOLA (NURSE PRACTITIONER) is currently active?
Yes — DR. OMOTAYO ELIZABETH AWUJOOLA (NURSE PRACTITIONER) appears active in the national provider directory.
What does DR. OMOTAYO ELIZABETH AWUJOOLA (NURSE PRACTITIONER) treat or focus on?
Patients typically see DR. OMOTAYO ELIZABETH AWUJOOLA (NURSE PRACTITIONER) under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place DR. OMOTAYO ELIZABETH AWUJOOLA (NURSE PRACTITIONER)?
The snapshot lists Old Saybrook, Connecticut for DR. OMOTAYO ELIZABETH AWUJOOLA (NURSE PRACTITIONER); download NPPES for the complete set.
What if Old Saybrook, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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