OLUBUKOLA E SHODIYA
NPI 1104456961
Nurse Practitioner - Psychiatric/Mental Health in Madison, WI

Active since January 21, 2020PECOS EnrolledAccepts Medicare Assignment
2921 LANDMARK PL STE 215, MADISON, WI 53713(708) 713-1017 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, Jun 14, 2025, Feb 20, 2025 and 1 more (4 updates tracked since 2020).

About Olubukola E Shodiya NPPES

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

OLUBUKOLA E SHODIYA (NPI 1104456961) is an individual psychiatric/mental health provider in Madison, Wisconsin, licensed in Illinois (209.020728) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104456961
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameOLUBUKOLA E SHODIYA
Location Address2921 LANDMARK PL STE 215Madison, WI 53713-4248
Mailing Address16514 S Sun Meadow DrLockport, IL 60441-5078 · (708) 713-1017
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 21, 2020
Last NPPES UpdateJune 16, 20254 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
NPI 1104456961 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 IL · 209.020728 Licensed in NE · 115698 Licensed in WI · 1681833 Licensed in IN · 71013331A
2921 LANDMARK PL STE 215, Madison, WI 53713

Other Identifiers 3

Other1681833WI · Wi Aprn
Other71013331AIN · In Aprn
Other209.020728IL · Idfpr

Accepted 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

Olubukola E Shodiya 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 ID9436574969
PECOS Enrollment IDI20200731000303, I20250226001820
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 6

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
120 services48 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
75 services56 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
48 services40 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
25 services25 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
23 services20 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53713 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 14

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

Counselor (Professional)
2921 LANDMARK PL STE 215
MADISON, WI 53713
Counselor (Mental Health)
2921 LANDMARK PL STE 215
MADISON, WI 53713
Non-emergency Medical Transport (VAN)
2921 LANDMARK PL STE 215
MADISON, WI 53713
Counselor
2921 LANDMARK PL STE 215
MADISON, WI 53713
Social Worker (Clinical)
2921 LANDMARK PL STE 215
MADISON, WI 53713
Counselor (Mental Health)
2921 LANDMARK PL STE 215
MADISON, WI 53713
Nurse Practitioner (Psychiatric/Mental Health)
2921 LANDMARK PL STE 215
MADISON, WI 53713
Counselor (Professional)
2921 LANDMARK PL STE 215
MADISON, WI 53713

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 Olubukola Shodiya's NPI number?

The NPI number for Olubukola Shodiya is 1104456961. It was assigned to this individual provider in the NPPES registry on January 21, 2020.

Where is Olubukola Shodiya located?

Olubukola Shodiya practices at 2921 Landmark Pl Ste 215, Madison, WI 53713. The listed phone number is (708) 713-1017.

What is Olubukola Shodiya's specialty?

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

Is Olubukola Shodiya enrolled in Medicare?

Yes. Olubukola Shodiya 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 Olubukola Shodiya accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Olubukola Shodiya 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 Olubukola Shodiya was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.