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

Olamigoke David Omotayo

Individual provider Family Nurse Practitioner · NPI 1396616280

Olamigoke David Omotayo is a Nurse Practitioner in Jeffersonville, Indiana. Qualified in 2025, 1 year ago. Practices with Total Care Family Practice Rick Bobay LLC, a 80-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2025
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Practice location Address checks out

1701 Spring St Ste B
Jeffersonville, IN 47130-2930
Phone: (812) 284-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71016925A (IN)

Record details

NPI number1396616280
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 15, 2025
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Total Care Family Practice Rick Bobay Llc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Jeffersonville