IYEN OMORAGBON (FNP) – Family Nurse Practitioner, NPI 1275939761

IYEN OMORAGBON (FNP) is a healthcare provider. based in Bedford, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP126757 (TX). The NPI Number for IYEN OMORAGBON (FNP) is 1275939761

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
IYEN OMORAGBON (FNP)
NPI
1275939761
Phone
(469) 949-6080
Address
4157 BEDFORD RD STE 200
Enumeration Date
10 November 2014
Last Update Date
24 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4699496080
Graduation Year
2014 (12 years ago)
PAC ID
4486680493
Group Practice PAC ID
3971968546
Professional Enrollment ID
I20160126001753
Address ID
TX760215228BE4157XRDXX301
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

22,204 NURSE PRACTITIONER in TX

Provider Addresses for IYEN OMORAGBON (FNP)

  • 4157 BEDFORD RD STE 200

    BEDFORD, TX 760215228

    Phone: (469) 949-6080

    Fax: (972) 634-1038

    Type: Location

  • 2815 S HAMPTON RD

    DALLAS, TX 752242329

    Phone: (214) 333-7333

    Fax: (214) 333-7342

    Type: Mailing

  • 18383 Preston Rd Ste 202

    Dallas, TX 752525487

    Phone: (469) 949-6080

    Fax: (972) 634-1038

    Type: Location

  • 120 E FM 544 STE 72

    MURPHY, TX 750944035

    Phone: (469) 949-6080

    Fax: (972) 634-1038

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-08-08 • Largest payer in this snapshot: Lilly USA, LLC ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$13
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: 2016-01-26

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
I20160126001753INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes3736$0
87804Detection test by immunoassay with direct visual observation for influenza virus2520$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)2525$0
99213Established patient office or other outpatient visit, 20-29 minutes2420$0
99214Established patient office or other outpatient visit, 30-39 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 76021)

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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: 3971968546View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is IYEN OMORAGBON (FNP) listed with a National Provider Identifier?
Yes — IYEN OMORAGBON (FNP) has NPI 1275939761 on file in the registry.
Is IYEN OMORAGBON (FNP) shown as active in public data?
Registry records indicate IYEN OMORAGBON (FNP) maintains an active NPI.
What area of care is associated with IYEN OMORAGBON (FNP)?
IYEN OMORAGBON (FNP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is IYEN OMORAGBON (FNP) registered?
Use Bedford, Texas as the headline location for IYEN OMORAGBON (FNP) here.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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