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OLUBUNMI C OLADOSU
NPI 1053903476
Nurse Practitioner - Psychiatric/Mental Health in Fort Worth, TX

Active since February 08, 2021PECOS EnrolledAccepts Medicare Assignment
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-3431 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2021, May 11, 2021, Feb 8, 2021 (3 updates tracked since 2021).

About Olubunmi C Oladosu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLUBUNMI C OLADOSU (NPI 1053903476) is an individual psychiatric/mental health provider in Fort Worth, Texas, licensed in Texas (1033338) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rego Park, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053903476
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameOLUBUNMI C OLADOSU
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing Address1500 S Main StFort Worth, TX 76104-4917 · (817) 702-3431
Phone(817) 702-3431
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 8, 2021
Last NPPES UpdateOctober 29, 20213 updates tracked since enumeration
NPPES CertifiedOctober 29, 2021
✔ NPI 1053903476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in TX · 1033338✔ Licensed in NY · F403596-01
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 928750 (TX), 821396-01 (NY)
1500 S MAIN ST, Fort Worth, TX 76104
Open in Google Maps ↗

Other Names 1

Other Name (5)Olubunmi Odole

Secondary Practice Location 1

Location 19520 63rd Rd Ste JRego Park, NY 11374-1145 · Phone (718) 459-1225 · Fax (718) 889-7464

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Olubunmi C Oladosu 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 ID5092114769
PECOS Enrollment IDI20210601000266
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 2

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
106 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
99 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN A LAZARINI MD
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (903) 353-2265
ALLYSON EVANS
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (801) 792-5267
DR. TREVOR A JOHNSON MD
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Tarrant County (817) 702-3431
DR. LELIA ERRETT WILLIAMS MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1244
MITCHELL JOHNSON
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1100
RIDDHI RANE MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-6500
DR. JOANE BAUMER M.D.
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Tarrant County (817) 335-1034
SHARYL WORKMAN PA
Physician Assistant
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 927-1100

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 Olubunmi Oladosu's NPI number?

The NPI number for Olubunmi Oladosu is 1053903476. It was assigned to this individual provider in the NPPES registry on February 8, 2021. The provider is also known as Olubunmi Odole.

Where is Olubunmi Oladosu located?

Olubunmi Oladosu practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-3431.

What is Olubunmi Oladosu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Olubunmi Oladosu enrolled in Medicare?

Yes. Olubunmi Oladosu 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.

What insurance does Olubunmi Oladosu accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Olubunmi Oladosu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Olubunmi Oladosu was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.