MRS. OLAITAN ADESOLA EBODA PMHNP-BC
NPI 1114652138
Nurse Practitioner - Psychiatric/Mental Health in Cherry Hill, NJ

Active since July 22, 2022PECOS EnrolledAccepts Medicare Assignment
811 CHURCH RD STE 219, CHERRY HILL, NJ 08002(732) 372-5963 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2023, Nov 18, 2022, Jul 22, 2022 (3 updates tracked since 2022).

About Mrs. Olaitan Adesola Eboda Pmhnp-bc NPPES

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

MRS. OLAITAN ADESOLA EBODA PMHNP-BC (NPI 1114652138) is an individual psychiatric/mental health provider in Cherry Hill, New Jersey, licensed in New Jersey (26NJ01343700) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Union, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114652138
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. OLAITAN ADESOLA EBODACredential: PMHNP-BC
Location Address811 CHURCH RD STE 219Cherry Hill, NJ 08002-1460
Mailing Address811 Church Rd Ste 219Cherry Hill, NJ 08002-1460 · (732) 372-5963
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 22, 2022
Last NPPES UpdateMarch 28, 20233 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
NPI 1114652138 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 NJ · 26NJ01343700
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License 26NJ01343700 (NJ)
811 CHURCH RD STE 219, Cherry Hill, NJ 08002

Secondary Practice Location 1

Location 12386 Morris Ave # 107-109Union, NJ 07083-5723 · Phone (732) 372-5963

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

Mrs. Olaitan Adesola Eboda Pmhnp-bc 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 ID5294110953
PECOS Enrollment IDI20220915002683
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 3

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, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
176 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
141 services16 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.
41 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08002 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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

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

Nurse Practitioner (Psychiatric/Mental Health)
811 CHURCH RD STE 219
CHERRY HILL, NJ 08002

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 Olaitan Eboda's NPI number?

The NPI number for Olaitan Eboda is 1114652138. It was assigned to this individual provider in the NPPES registry on July 22, 2022.

Where is Olaitan Eboda located?

Olaitan Eboda practices at 811 Church Rd Ste 219, Cherry Hill, NJ 08002. The listed phone number is (732) 372-5963.

What is Olaitan Eboda's specialty?

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

Is Olaitan Eboda enrolled in Medicare?

Yes. Olaitan Eboda 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 Olaitan Eboda accept?

Health plans from Providence Health Plan list Olaitan Eboda 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 Olaitan Eboda was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.