KEYAMO M OMOKURU (DNP, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1295066694

KEYAMO M OMOKURU (DNP, PMHNP-BC) is a healthcare provider. based in San antonio, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, PMHNP-BC. They hold a License No. PN 19805 (OH). The NPI Number for KEYAMO M OMOKURU (DNP, PMHNP-BC) is 1295066694

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
KEYAMO M OMOKURU (DNP, PMHNP-BC)
NPI
1295066694
Phone
(210) 261-1000
Address
6800 PARK TEN BLVD STE 200S
Enumeration Date
25 January 2010
Last Update Date
2 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2109901142
Graduation Year
2018 (8 years ago)
PAC ID
1850634338
Group Practice PAC ID
5890078042
Professional Enrollment ID
I20190524001124
Address ID
TX782293915SA8026XDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:16State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for KEYAMO M OMOKURU (DNP, PMHNP-BC)

  • 6800 PARK TEN BLVD STE 200S

    SAN ANTONIO, TX 782134293

    Phone: (210) 261-1000

    Type: Mailing

  • 7563 Black Squirrel Trl

    Hamilton, OH 450117613

    Phone: (513) 807-7507

    Type: Location

  • 928, West Commerce Street, Cattleman's Square, San Antonio, Bexar County, Texas, 78207, United States

    SAN ANTONIO, TX 782074444

    Phone: (210) 261-1250

    Fax: (210) 434-0716

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 126 Open Payments records for all available years, with a total value of $3,052.

Total Amount is formed as General ($3,052) + Research ($0) + Ownership ($0) = $3,052.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($1,046).

Total Amount

$3,052

General + Research + Ownership

Payments

126

Total payment records

General Amount

$3,052

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2019-05-24

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
I20190524001124INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes6432$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3521$0
90833Psychotherapy with evaluation and management visit, 30 minutes2414$0
View full utilization report →

Insurance plans in this area (ZIP 78213)

Loading plans...

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: 5890078042View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
P S Y C H I A T R YTX
P S Y C H I A T R YTX
P S Y C H I A T R YTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

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.

Frequently asked questions

What number should I use to identify KEYAMO M OMOKURU (DNP, PMHNP-BC) for billing?
Administrative and clinical systems typically use NPI 1295066694 for KEYAMO M OMOKURU (DNP, PMHNP-BC).
Is KEYAMO M OMOKURU (DNP, PMHNP-BC)'s NPI status active today?
Active status means KEYAMO M OMOKURU (DNP, PMHNP-BC)'s NPI record is not deactivated in the public file.
What services align with KEYAMO M OMOKURU (DNP, PMHNP-BC)'s listing?
KEYAMO M OMOKURU (DNP, PMHNP-BC)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KEYAMO M OMOKURU (DNP, PMHNP-BC)?
KEYAMO M OMOKURU (DNP, PMHNP-BC) is associated with San Antonio, Texas in the same public data insurers reference.
Who maintains KEYAMO M OMOKURU (DNP, PMHNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

SYLVIA IRMA PEREZ (PMHNP)

Psychiatric/Mental Health Nurse Practitioner
7526 LOUIS PASTEUR DR RM 316
NPI: 1225037666

MRS. CHARLOTTE D BALLARD (MSN, ENP-BC)

Primary Care Nurse Practitioner
San Antonio, Parroquia Quebrada Honde de Guache, Municipio Andrés Eloy Blanco, Lara, Región Centroccidental, Venezuela
NPI: 1902893324
8801, Carriage Drive, Las Sombras, San Antonio, Bexar County, Texas, 78217, United States
NPI: 1942286901

KEITH R. SMITH (PMHNP, BC)

Psychiatric/Mental Health Nurse Practitioner
10906, Rocky Trail, Creekview Estates, San Antonio, Bexar County, Texas, 78249, United States
NPI: 1811967631

MS. CYNTHIA LOU SHORTLE (NP)

Psychiatric/Mental Health Nurse Practitioner
West Craig Place, Woodlawn Lake, San Antonio, Bexar County, Texas, 78228, United States
NPI: 1063481992

ANA TATTERSALL-COCKE (PMHNP-BC, CNS-BC)

Psychiatric/Mental Health Nurse Practitioner
1500 NE IRVING ST STE 210
NPI: 1699727214

DR. SUSAN J VAN FOSSEN (RN, MSN, BC, PMHNP,)

Psychiatric/Mental Health Nurse Practitioner
1105, Cliff Swallow Drive, Granbury, Hood County, Texas, 76048, United States
NPI: 1558309328

SUSANA PATRICIA JUAREZ-LEAL (CPNA PHD)

Psychiatric/Mental Health Nurse Practitioner
210 SWEETHEART CRK
NPI: 1245270545