OLUWASEGUN PAUL DAVID DNP
NPI 1013797216
Nurse Practitioner - Psychiatric/Mental Health in St Louis Park, MN
About Oluwasegun Paul David Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLUWASEGUN PAUL DAVID DNP (NPI 1013797216) is an individual psychiatric/mental health provider in St Louis Park, Minnesota, licensed in Minnesota (10648) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Oluwasegun Paul David Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Oluwasegun David reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 1,453 clinicians in this Medicare group
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Oluwasegun David's NPI number?
The NPI number for Oluwasegun David is 1013797216. It was assigned to this individual provider in the NPPES registry on October 4, 2023.
Where is Oluwasegun David located?
Oluwasegun David practices at 5775 Wayzata Blvd Fl 2, St Louis Park, MN 55416. The listed phone number is (952) 525-4500.
What is Oluwasegun David's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Oluwasegun David enrolled in Medicare?
Yes. Oluwasegun David is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Oluwasegun David's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Oluwasegun David reassigns Medicare benefits to 2 organizations: University Of Minnesota Physicians (St Louis Park, MN) and Accord Health, PLLC (Maple Grove, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Oluwasegun David's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Oluwasegun David was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Oluwasegun Paul David, DNP · NPI 1013797216
Psychiatric/Mental Health physician in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since October 4, 2023.
## Identity
- **NPI:** 1013797216 (Entity type: Individual)
- **Enumerated:** October 4, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 10648 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5775 WAYZATA BLVD FL 2, St Louis Park, MN 55416-1222
- **Phone:** (952) 525-4500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Minnesota Physicians (NPI 1144368531, St Louis Park, MN); Accord Health, PLLC (NPI 1679211296, Maple Grove, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1013797216) · Data from the CMS NPPES public registry.