P Praxis·MD
● Active Type 1 · Individual

MR. Jide Omosewo, CRNA

Nurse Anesthetist, Certified Registered·Victoria, TX· NPI 1881991339 · Enumerated 2011 · 15 years on NPI
Omosewo is 1 of 21 nurse anesthetist, certified registered providers in Victoria and 1 of 6676 in Texas.
NPI age
15 years
Enumerated 2011-02-18
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 2 subspecialties
Licensed in
TX, VA, AZ
3 states
Status
Active
No deactivations on record
Last NPPES update
2021-07-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 6676 active nurse anesthetist, certified registered providers in Texas.

NPI age
15 years
↑ 2 yr above median (13 yr)
State licenses
3 states
Top 84% — 16% of peers are multi-state
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-02Enumerated in NPPES
2011 2026

Where they practice

Practice location
1501 E Mockingbird Ln, Suite 101
Victoria, TX 779042155
📞 3615736291fax 3615762434
Mailing address
1501 E Mockingbird Ln, Suite 101
Victoria, TX 779042155
📞 3615736291fax 3615762434

Additional practice locations

1 secondary location on file with NPPES.

Location 2
645 E Missouri Ave Ste 300
Phoenix, AZ 850121351
📞 6022628917fax 6022628890

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
    TX license #869357VA license #0024169214AZ license #CRNA1477 taxonomy 367500000X

Practice context

Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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