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OLUSOLA AWODU RN
NPI 1063014496
Nurse Practitioner - Psychiatric/Mental Health in Randolph, MA

Active since November 11, 2020PECOS Enrolled
500 N MAIN ST STE C2ND, RANDOLPH, MA 02368(857) 247-0263 Get Directions Write a Review

NPPES record last updated: November 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 20, 2021, Nov 22, 2020, Nov 11, 2020 (3 updates tracked since 2020).

About Olusola Awodu Rn NPPES

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

OLUSOLA AWODU RN (NPI 1063014496) is an individual psychiatric/mental health provider in Randolph, Massachusetts, licensed in Massachusetts (RN2297551) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1063014496
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameOLUSOLA AWODUCredential: RN
Location Address500 N MAIN ST STE C2NDRandolph, MA 02368-6700
Mailing Address500 N Main St Ste C2ndRandolph, MA 02368-6700 · (857) 247-0263
Phone(857) 247-0263
Sole ProprietorYes
Enumeration DateNovember 11, 2020
Last NPPES UpdateNovember 20, 20213 updates tracked since enumeration
NPPES CertifiedNovember 20, 2021
✔ NPI 1063014496 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
License✔ Licensed in MA · RN2297551
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN2297551 (MA)
500 N MAIN ST STE C2ND, Randolph, MA 02368
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Secondary Practice Location 1

Location 166 Canal StBoston, MA 02114-2002 · Phone (617) 371-3000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olusola Awodu Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02368 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 Olusola Awodu's NPI number?

The NPI number for Olusola Awodu is 1063014496. It was assigned to this individual provider in the NPPES registry on November 11, 2020.

Where is Olusola Awodu located?

Olusola Awodu practices at 500 N Main St Ste C2nd, Randolph, MA 02368. The listed phone number is (857) 247-0263.

What is Olusola Awodu's specialty?

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

Is Olusola Awodu enrolled in Medicare?

Yes. Olusola Awodu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olusola Awodu was last updated on November 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.