Samson Omowumi
NPI 1457181877 · Psychiatric/Mental Health Nurse Practitioner · Peoria, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samson Omowumi is a Psychiatric/Mental Health Nurse Practitioner provider in Peoria, IL (NPI 1457181877).
Provider details
- NPI number
- 1457181877
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 209.030167 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-08-02
- Last updated
- 2024-08-02
- Certified
- 2024-08-02
Frequently asked questions
- What is Samson Omowumi's NPI number?
- Samson Omowumi's National Provider Identifier (NPI) is 1457181877, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samson Omowumi's specialty?
- Samson Omowumi is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Samson Omowumi located?
- Samson Omowumi's practice location on file with NPPES is 5401 N Knoxville Ave, Peoria, IL 61614-5098.
- What is Samson Omowumi's phone number?
- The practice phone number listed in the NPPES registry for Samson Omowumi is (614) 816-7589.
- Does Samson Omowumi accept Medicare?
- Samson Omowumi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samson Omowumi's NPI active?
- Yes — Samson Omowumi's NPI (1457181877) is active in the NPPES registry as of the last update on 2024-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.