Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Agnes Olaolu Ezekiel, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1821620840

Agnes Olaolu Ezekiel, PMHNP-BC is a Nurse Practitioner in Grants Pass, Oregon. Qualified in 2019, 7 years ago. Practices with Options for Southern Oregon, a 71-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Montana.

Years since qualifying
7
Licensed in
MT
In the registry since
2020
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1545 Harbeck Rd
Grants Pass, OR 97527-5605
Phone: (541) 476-2373
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 162006 (MT)

Record details

NPI number1821620840
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedFebruary 7, 2020
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Options For Southern Oregon — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Grants Pass