ONOME EDOKUN (APRN, AG/ACNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1780213983
Psychiatric/Mental Health Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for ONOME EDOKUN (APRN, AG/ACNP-BC)
20126 EMERALD MOUNTAIN DR
RICHMOND, TX 774074184
Phone: (713) 330-5135
Type: Mailing
123 VISION PARK BLVD
SHENANDOAH, TX 773843001
Phone: (281) 364-0317
Type: Location
909 FROSTWOOD DR STE 1.100
HOUSTON, TX 770242301
Phone: (713) 338-5519
Type: Mailing
PO BOX 4439
HOUSTON, TX 772104439
Phone: (713) 792-2991
Type: Mailing
1144 MADISON ST NE STE F
SALEM, OR 973017861
Phone: (571) 554-1147
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: 2024-04-23
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 |
|---|---|---|---|---|
| I20201106001079 | I | Nurse Practitioner | TX | TBD |
| I20240423000863 | I | Nurse Practitioner | OR | 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 77407)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | ID | |
| Physician Assistant | MA | |
| - | AL | |
| - | OR | |
| Clinical Social Worker | OR | |
| - | OR | |
| Physician Assistant | OR | |
| - | OR | |
| - | OR |
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