CORDELIA ODUNAYO (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1306325790
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
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Provider Addresses for CORDELIA ODUNAYO (NP)
3303 WEYBURN DR
VENUS, TX 760841190
Phone: (817) 703-6011
Type: Mailing
300, Pennsylvania Avenue, Fort Worth, Tarrant County, Texas, 76104, United States
FORT WORTH, TX 761043304
Phone: (817) 569-4555
Type: Location
110 W RANDOL MILL RD STE 200
ARLINGTON, TX 760114612
Phone: (214) 892-7151
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $262.
Total Amount is formed as General ($262) + Research ($0) + Ownership ($0) = $262.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($114).
Total Amount
$262
General + Research + Ownership
Payments
8
Total payment records
General Amount
$262
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-10-17
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 |
|---|---|---|---|---|
| I20181017003058 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76084)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | TX | |
| Nurse Practitioner | TX | |
| Clinical Social Worker | IN | |
| Family Practice | TX | |
| Mental Health Counselor | TX | |
| Family Practice | IL | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Mental Health Counselor | TX | |
| Nurse Practitioner | TX |
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