OLUBUKOLA SAMI – Family Nurse Practitioner, NPI 1194557124

OLUBUKOLA SAMI is a healthcare provider. based in Round rock, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1168642 (TX). The NPI Number for OLUBUKOLA SAMI is 1194557124

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
OLUBUKOLA SAMI
NPI
1194557124
Phone
(512) 663-2487
Address
PO BOX 5042
Enumeration Date
19 August 2024
Last Update Date
19 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8175389971
Graduation Year
2010 (16 years ago)
PAC ID
6204369143
Group Practice PAC ID
2365450202
Professional Enrollment ID
I20241030001956
Address ID
TX786653991RO3000XBLVD403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for OLUBUKOLA SAMI

  • PO BOX 5042

    ROUND ROCK, TX 786835042

    Phone: (512) 663-2487

    Mailing address matches the actual address.

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: 2024-10-30

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
I20241030001956INurse PractitionerTXTBD

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 78683)

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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: 2365450202View full group profile

Reviews

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Frequently asked questions

Is OLUBUKOLA SAMI listed with a National Provider Identifier?
Yes — OLUBUKOLA SAMI has NPI 1194557124 on file in the registry.
Is OLUBUKOLA SAMI shown as active in public data?
Registry records indicate OLUBUKOLA SAMI maintains an active NPI.
What expertise is attributed to OLUBUKOLA SAMI?
OLUBUKOLA SAMI's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is OLUBUKOLA SAMI located near Round Rock?
OLUBUKOLA SAMI currently maps to Round Rock, Texas in this extract.
When was this NPI issued?
Enumeration for OLUBUKOLA SAMI is noted as August 19, 2024 where the registry provides it.

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