OLUWASEGUN PAUL DAVID DNP
NPI 1013797216
Nurse Practitioner - Psychiatric/Mental Health in St Louis Park, MN

Active since October 04, 2023PECOS EnrolledAccepts Medicare Assignment
5775 WAYZATA BLVD FL 2, ST LOUIS PARK, MN 55416(952) 525-4500 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1013797216
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameOLUWASEGUN PAUL DAVIDCredential: DNP
Location Address5775 WAYZATA BLVD FL 2St Louis Park, MN 55416-1222
Mailing Address9084 Farmstead AveMonticello, MN 55362-8461
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 4, 2023
NPPES CertifiedOctober 4, 2023
NPI 1013797216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MN · 10648
5775 WAYZATA BLVD FL 2, St Louis Park, MN 55416

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4789031352
PECOS Enrollment IDI20231103002883
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services15 patients

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.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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 2 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.