MARILYN OMOMEN (AGPCNP, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1316337215

MARILYN OMOMEN (AGPCNP, PMHNP) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP, PMHNP. They hold a License No. AP127499 (TX). The NPI Number for MARILYN OMOMEN (AGPCNP, PMHNP) is 1316337215

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MARILYN OMOMEN (AGPCNP, PMHNP)
NPI
1316337215
Phone
Not provided
Address
PO BOX 844658
Enumeration Date
29 January 2015
Last Update Date
21 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2547242663
Graduation Year
2014 (12 years ago)
PAC ID
4789901349
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20150320000084
Address ID
TX765080001TE2401XBLDG501

Contacts

Secure Messaging
momomen34337@direct.sw.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:11State licenses:2Other namesUpdated within 12 months

22,209 NURSE PRACTITIONER in TX

Provider Addresses for MARILYN OMOMEN (AGPCNP, PMHNP)

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone:

    Type: Mailing

  • 6101 W COURTYARD DR STE 2-225

    AUSTIN, TX 787305044

    Phone: (512) 956-5003

    Type: Location

  • 1605 S 31ST

    TEMPLE, TX 765080001

    Phone: (254) 215-0100

    Type: Location

  • 1605 S 31st

    Temple, TX 765080001

    Phone: (254) 215-0100

    Type: Location

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: 2025-04-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20150320000084INurse PractitionerTXTBD
I20250307003402INurse PractitionerFLTBD
I20250417002424INurse PractitionerAZTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes212201$0
99214Established patient office or other outpatient visit, 30-39 minutes6863$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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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: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

What number should I use to identify MARILYN OMOMEN (AGPCNP, PMHNP) for billing?
Administrative and clinical systems typically use NPI 1316337215 for MARILYN OMOMEN (AGPCNP, PMHNP).
Should I treat MARILYN OMOMEN (AGPCNP, PMHNP) as an active provider?
Patients and plans typically see MARILYN OMOMEN (AGPCNP, PMHNP) as active in the national extract.
Which specialty label fits MARILYN OMOMEN (AGPCNP, PMHNP)?
NPPES ties MARILYN OMOMEN (AGPCNP, PMHNP) to Psychiatric/Mental Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARILYN OMOMEN (AGPCNP, PMHNP)?
MARILYN OMOMEN (AGPCNP, PMHNP) is associated with Dallas, Texas in the same public data insurers reference.
Can I export MARILYN OMOMEN (AGPCNP, PMHNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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