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SHOLA ADEWUNMI PMHNP
NPI 1073168449
Nurse Practitioner - Psychiatric/Mental Health in Pasco, WA

Active since August 02, 2019PECOS Enrolled
6115 BURDEN BLVD STE D, PASCO, WA 99301(509) 488-5256(509) 488-9939 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 16, 2023, Aug 22, 2022, Sep 9, 2019 and 1 more (4 updates tracked since 2019).

About Shola Adewunmi Pmhnp NPPES

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

SHOLA ADEWUNMI PMHNP (NPI 1073168449) is an individual psychiatric/mental health provider in Pasco, Washington, licensed in Washington (AP61063594) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1073168449
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSHOLA ADEWUNMICredential: PMHNP
Location Address6115 BURDEN BLVD STE DPasco, WA 99301-0010
Mailing Address1515 E Columbia StOthello, WA 99344-1846 · (509) 488-5256 · Fax (509) 488-9939
Phone(509) 488-5256
Fax(509) 488-9939
Sole ProprietorNo
Enumeration DateAugust 2, 2019
Last NPPES UpdateJanuary 29, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
✔ NPI 1073168449 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
Licenses✔ Licensed in WA · AP61063594✔ Licensed in MD · AC002778
6115 BURDEN BLVD STE D, Pasco, WA 99301
Open in Google Maps ↗

Secondary Practice Locations 6

Location 11515 E Columbia StOthello, WA 99344-1846 · Phone (509) 488-5256 · Fax (509) 488-9939
Location 21051 Columbia AveConnell, WA 99326-8702 · Phone (509) 488-5256 · Fax (509) 488-9939
Location 3601 Government RdMattawa, WA 99349-5120 · Phone (509) 488-5256 · Fax (509) 488-9939
Location 414723 London LnBowie, MD 20715-2548 · Phone (404) 902-9180
Location 51345 Redmond Cir NWRome, GA 30165-1307 · Phone (910) 742-9243 · Fax (888) 746-1787
Location 66115 Burden Blvd Ste DPasco, WA 99301-0010 · Phone (509) 488-5256 · Fax (509) 488-9939

Other Identifiers 2

OtherAP61063594WA · Wa St. Dept. Of Health
OtherRN61063515WA · Wa. St. Dept. Of Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shola Adewunmi Pmhnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Shola Adewunmi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifesource Of North Carolina
1,957 mi
General Practice
1345 REDMOND CIR NW
Rome, GA 30165
  • Reassigned Medicare billing, Georgia enrollment
  • 92 clinicians in this Medicare group
NPI 1962940817 (910) 742-9243

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99301 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 2

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

STUART BROWN PA-C
Physician Assistant (Medical)
6115 BURDEN BLVD STE D
PASCO, WA 99301
Franklin County (509) 488-5256
MARIA J CASTILLO ARNP
Nurse Practitioner (Family)
6115 BURDEN BLVD STE D
PASCO, WA 99301
Franklin County (509) 488-5256

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 Shola Adewunmi's NPI number?

The NPI number for Shola Adewunmi is 1073168449. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Where is Shola Adewunmi located?

Shola Adewunmi practices at 6115 Burden Blvd Ste D, Pasco, WA 99301. The listed phone number is (509) 488-5256.

What is Shola Adewunmi's specialty?

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

Is Shola Adewunmi enrolled in Medicare?

Yes. Shola Adewunmi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shola Adewunmi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shola Adewunmi reassigns Medicare benefits to Lifesource Of North Carolina (Rome, GA). The 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 Shola Adewunmi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shola Adewunmi accept?

Health plans from Oscar Health list Shola Adewunmi 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 Shola Adewunmi was last updated on January 29, 2024. 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.