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

Mr. Jide Omosewo, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1881991339

Mr. Jide Omosewo, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Victoria, Texas. Graduated from Georgetown University School of Medicine in 2010, 16 years ago. Practices with Faith Regional Physician Services LLC, a 191-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, Texas and Virginia.

Years since qualifying
16
Trained at
Georgetown University School of Medicine
Licensed in
AZ, TX, VA
In the registry since
2011
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1501 E Mockingbird Ln Ste 101
Victoria, TX 77904-2155
Phone: (361) 573-6291
Fax: (361) 576-2434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 — (602) 262-8917

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 869357 (TX)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 0024169214 (VA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence CRNA1477 (AZ)

Record details

NPI number1881991339
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 18, 2011
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Faith Regional Physician Services Llc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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