OSAYANDE ABRAHAM OMOREGIE (PA-C) – Physician Assistant, NPI 1942605779

OSAYANDE ABRAHAM OMOREGIE (PA-C) is a healthcare provider. based in Hendersonville, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2646 (TN). The NPI Number for OSAYANDE ABRAHAM OMOREGIE (PA-C) is 1942605779

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
OSAYANDE ABRAHAM OMOREGIE (PA-C)
NPI
1942605779
Phone
(615) 972-1100
Address
353 New Shackle Island Rd Ste 148C
Enumeration Date
22 October 2014
Last Update Date
21 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6159721100
Graduation Year
2014 (12 years ago)
PAC ID
4688974892
Group Practice PAC ID
8628217973
Professional Enrollment ID
I20151119001710
Address ID
TN370752366HE353XXRDXX514
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for OSAYANDE ABRAHAM OMOREGIE (PA-C)

  • 353 New Shackle Island Rd Ste 148C

    Hendersonville, TN 370752366

    Phone: (615) 972-1100

    Fax: (615) 537-4950

    Type: Location

  • 501 GREAT CIRCLE RD

    STE. 200

    NASHVILLE, TN 372281317

    Phone: (615) 327-9543

    Fax: (615) 341-3567

    Type: Mailing

  • 3443 DICKERSON PIKE STE 730

    NASHVILLE, TN 372072527

    Phone: (615) 972-1100

    Fax: (615) 537-4950

    Type: Location

  • 353 NEW SHACKLE ISLAND RD STE 148C

    HENDERSONVILLE, TN 370752366

    Phone: (615) 972-1100

    Fax: (615) 537-4950

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 91 Open Payments records for all available years, with a total value of $2,011.

Total Amount is formed as General ($2,011) + Research ($0) + Ownership ($0) = $2,011.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Abbott Laboratories ($767).

Total Amount

$2,011

General + Research + Ownership

Payments

91

Total payment records

General Amount

$2,011

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

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: 2015-11-19

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
I20151119001710IPhysician AssistantTNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes318111$0
99214Established patient office or other outpatient visit, 30-39 minutes12889$0
View full utilization report →

Insurance plans in this area (ZIP 37075)

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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: 8628217973View full group profile
NameSpecialtyState
Nurse PractitionerTN
Physical Medicine And RehabilitationTN
-TN
Pain Management, AnesthesiologyTN
Nurse PractitionerTN
Physician AssistantTN

Reviews

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Frequently asked questions

How do I look up OSAYANDE ABRAHAM OMOREGIE (PA-C) by NPI?
Use NPI 1942605779 when you need to reference OSAYANDE ABRAHAM OMOREGIE (PA-C) in forms, claims, or directories.
Is OSAYANDE ABRAHAM OMOREGIE (PA-C) active in the national directory?
OSAYANDE ABRAHAM OMOREGIE (PA-C)'s public NPI profile is in an active state.
What field does OSAYANDE ABRAHAM OMOREGIE (PA-C) work in?
You can think of OSAYANDE ABRAHAM OMOREGIE (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is OSAYANDE ABRAHAM OMOREGIE (PA-C)'s primary listing?
We display Hendersonville, Tennessee because that is what the record indicates for OSAYANDE ABRAHAM OMOREGIE (PA-C).
Is OSAYANDE ABRAHAM OMOREGIE (PA-C) a real provider?
This page reflects official NPPES data for NPI 1942605779. Always confirm identity and privileges with the practice and licensing boards.

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