DR. STEPHANIE OMOTAYO (DNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1184139362
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
Loading map...
Provider Addresses for DR. STEPHANIE OMOTAYO (DNP)
Greenville Avenue, Vickery Meadows PID, Dallas, Dallas County, Texas, 75231, United States
DALLAS, TX 752437035
Phone: (214) 221-0855
Fax: (214) 221-1437
Type: Location
1626 W HIGHWAY 287 BUSINESS STE 104
WAXAHACHIE, TX 751654728
Phone: (469) 414-2615
Fax: (469) 242-9743
Type: Location
8515, Greenville Avenue, Lake Highlands, Dallas, Dallas County, Texas, 75243, United States
DALLAS, TX 752437011
Phone:
Type: Mailing
112 MANOR LN
WAXAHACHIE, TX 751657533
Phone: (214) 518-1398
Type: Mailing
12221 MERIT DR STE 450
DALLAS, TX 752512294
Phone: (972) 770-1032
Fax: (469) 484-2126
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $625.
Total Amount is formed as General ($625) + Research ($0) + Ownership ($0) = $625.
Last reported payment date: 2024-06-27 • Largest payer in this snapshot: ABBVIE INC. ($205).
Total Amount
$625
General + Research + Ownership
Payments
21
Total payment records
General Amount
$625
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $205 |
| Neurocrine BioSciences, Inc. | $166 |
| Otsuka America Pharmaceutical, Inc. | $155 |
| Alkermes, Inc. | $70 |
| ITI, Inc. | $16 |
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: 2020-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200615002665 | I | Nurse Practitioner | TX | 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 | 44 | 27 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 15 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 20 | 13 | $0 |
Insurance plans in this area (ZIP 75243)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.