DR. OMOLOLA OMOYEMI AKINNODI (FNP-BC, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1356019897

DR. OMOLOLA OMOYEMI AKINNODI (FNP-BC, PMHNP-BC) is a healthcare provider. based in Lincoln city, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC, PMHNP-BC. They hold a License No. 30071 (TN). The NPI Number for DR. OMOLOLA OMOYEMI AKINNODI (FNP-BC, PMHNP-BC) is 1356019897

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. OMOLOLA OMOYEMI AKINNODI (FNP-BC, PMHNP-BC)
NPI
1356019897
Phone
(541) 921-3584
Address
2600 NE HIGHWAY 101 STE 200
Enumeration Date
31 August 2021
Last Update Date
4 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5419213584
Graduation Year
2023 (3 years ago)
PAC ID
0648661645
Group Practice PAC ID
6608284385
Professional Enrollment ID
I20240214000762
Address ID
OR973674464LI2600X101X401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:4State licenses:4Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for DR. OMOLOLA OMOYEMI AKINNODI (FNP-BC, PMHNP-BC)

  • 2600 NE HIGHWAY 101 STE 200

    LINCOLN CITY, OR 973674464

    Phone: (541) 921-3584

    Fax: (541) 614-1291

    Type: Mailing

  • 2300 COMMERCE WAY

    KAUFMAN, TX 751427361

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20211230001263INurse PractitionerTXTBD
I20231011000602INurse PractitionerCOTBD
I20240214000762INurse PractitionerORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97367)

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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: 6608284385View full group profile
NameSpecialtyState
Nurse PractitionerOR
Mental Health CounselorOR
Nurse PractitionerOR
Nurse PractitionerOR
Mental Health CounselorOR

Reviews

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Frequently asked questions

What number should I use to identify DR. OMOLOLA OMOYEMI AKINNODI (FNP-BC, PMHNP-BC) for billing?
Administrative and clinical systems typically use NPI 1356019897 for DR. OMOLOLA OMOYEMI AKINNODI (FNP-BC, PMHNP-BC).
Does the public listing show DR. OMOLOLA OMOYEMI AKINNODI (FNP-BC, PMHNP-BC) as active?
DR. OMOLOLA OMOYEMI AKINNODI (FNP-BC, PMHNP-BC)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. OMOLOLA OMOYEMI AKINNODI (FNP-BC, PMHNP-BC)?
NPPES ties DR. OMOLOLA OMOYEMI AKINNODI (FNP-BC, PMHNP-BC) to Psychiatric/Mental Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. OMOLOLA OMOYEMI AKINNODI (FNP-BC, PMHNP-BC) tied to Lincoln City, Oregon?
If you are local to Lincoln City, Oregon, DR. OMOLOLA OMOYEMI AKINNODI (FNP-BC, PMHNP-BC) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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