OMOTAYO GRACE ALLEN (NP) – Nurse Practitioner, NPI 1578237996
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for OMOTAYO GRACE ALLEN (NP)
21 E State St Ste 200
Columbus, OH 432150109
Phone: (800) 924-7811
Fax: (877) 349-1868
Type: Location
1760 Abbey Rd Ste 200
East Lansing, MI 488237302
Phone: (262) 667-7326
Fax: (877) 349-1868
Type: Location
4625 Lindell Blvd Ste 200
Saint Louis, MO 631083725
Phone: (800) 924-7811
Fax: (877) 349-1868
Type: Location
301 Grant St Ste 270
Pittsburgh, PA 152191408
Phone: (800) 924-7811
Fax: (877) 349-1868
Type: Location
123 S Broad St Ofc 1560
Philadelphia, PA 191091029
Phone: (800) 924-7811
Fax: (877) 349-1868
Type: Location
330 Innovation Blvd Ste 223
State College, PA 168036611
Phone: (800) 924-7811
Fax: (877) 349-1868
Type: Location
6000 Poplar Ave Ste 250
Memphis, TN 381193974
Phone: (800) 924-7811
Fax: (877) 349-1868
Type: Location
8045 E JEFFERSON AVE
DETROIT, MI 482142627
Phone:
Type: Mailing
265 MAIN ST
BELLEVILLE, MI 481113284
Phone: (248) 266-6073
Type: Location
440 N BARRANCA AVE # 1801
COVINA, CA 917231722
Phone: (800) 924-7811
Fax: (877) 349-1868
Type: Mailing
7008 SALEM AVE # 117
LUBBOCK, TX 794242226
Phone: (800) 924-7811
Fax: (877) 349-1868
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 $213.
Total Amount is formed as General ($213) + Research ($0) + Ownership ($0) = $213.
Last reported payment date: 2023-03-29 • Largest payer in this snapshot: ABBVIE INC. ($160).
Total Amount
$213
General + Research + Ownership
Payments
6
Total payment records
General Amount
$213
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $160 |
| GlaxoSmithKline, LLC. | $21 |
| PFIZER INC. | $19 |
| Indivior Inc. | $13 |
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: 2026-02-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
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 |
|---|---|---|---|---|
| I20220303001326 | I | Nurse Practitioner | MI | TBD |
| I20240229002953 | I | Nurse Practitioner | TX | TBD |
| I20241203003424 | I | Nurse Practitioner | OH | TBD |
| I20250724002309 | I | Nurse Practitioner | MO | TBD |
| I20250724004356 | I | Nurse Practitioner | TN | TBD |
| I20250804000868 | I | Nurse Practitioner | PA | TBD |
| I20260225003436 | I | Nurse Practitioner | CO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 66 | 24 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 14 | 12 | $0 |
Insurance plans in this area (ZIP 43215)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | CA | |
| Internal Medicine | TX | |
| Clinical Psychologist | OH | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TN | |
| Clinical Social Worker | CA | |
| Nurse Practitioner | TX | |
| Family Practice | GA |
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