Individual ProviderMelanie OmojolaNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1153 Centre St, Jamaica Plain, MA 02130-3446(617) 983-7000PECOS EnrollmentBased on the most recent information from CMS, provider Melanie Omojola does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1275776486Provider TypeIndividualFull NameOmojola, MelanieCredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date4/17/2009Last Updated4/29/2014Contact InformationPractice LocationPractice Address1153 Centre St, Jamaica Plain, MA 02130-3446Phone(617) 983-7000FaxUnlisted FaxMailing LocationMailing Address1153 Centre St, Jamaica Plain, MA 02130-3446Phone(617) 983-7000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense256308Massachusetts