FUNMILOLA OMOLOLA SIJUADE (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1447787551
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for FUNMILOLA OMOLOLA SIJUADE (PMHNP-BC)
23515 PRATO GARDENS LN
KATY, TX 774933242
Phone: (917) 499-2254
Type: Mailing
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 980432089
Phone: (425) 640-7009
Fax: (425) 640-7009
Type: Location
Post Oak Place Drive, Houston, Harris County, Texas, United States
HOUSTON, TX 770273133
Phone: (713) 297-7133
Fax: (832) 553-2941
Type: Location
3201 Allen Pkwy Ste E250
Houston, TX 770191811
Phone: (617) 420-1917
Type: Location
20634 RICEWOOD VILLAGE TRL
KATY, TX 774494882
Phone: (917) 499-2254
Type: Mailing
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: 2020-10-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180315001629 | I | Nurse Practitioner | TX | TBD |
| I20201026001703 | I | Nurse Practitioner | WA | 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 77493)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | TX | |
| Mental Health Counselor | TX | |
| - | TX | |
| Mental Health Counselor | TX | |
| Clinical Social Worker | TX | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | TX | |
| Mental Health Counselor | TX | |
| Nurse Practitioner | TX |
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