OLUBUKOLA KOMOLAFE NURSE PRACTITIONER
NPI 1134628738
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Q: What is Olubukola Komolafe's NPI number?

The NPI number for Olubukola Komolafe is 1134628738. It was assigned to this individual provider in the NPPES registry on February 8, 2018.

Q: What is Olubukola Komolafe's specialty?

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

Active since February 08, 2018PECOS EnrolledAccepts Medicare Assignment

13838 S 46TH PL STE 340, PHOENIX, AZ 85044(832) 542-3181 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2021, Oct 16, 2020, Oct 28, 2019 and 3 more (6 updates tracked since 2018).

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About Olubukola Komolafe Nurse Practitioner NPPES

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

OLUBUKOLA KOMOLAFE NURSE PRACTITIONER (NPI 1134628738) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (AP10975) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1134628738

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameOLUBUKOLA KOMOLAFECredential: NURSE PRACTITIONER

Location Address13838 S 46TH PL STE 340Phoenix, AZ 85044-7805

Mailing AddressPo Box 2251Scottsdale, AZ 85252-2251 · (832) 542-3181

Phone(832) 542-3181

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 8, 2018

Last NPPES UpdateOctober 1, 20216 updates tracked since enumeration

NPPES CertifiedOctober 1, 2021

✔ NPI 1134628738 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 AZ · AP10975

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP10975 (AZ)

13838 S 46TH PL STE 340, Phoenix, AZ 85044

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Secondary Practice Location 1

Location 11810 E Sahara Ave Ste 100Las Vegas, NV 89104-3707 · Phone (702) 530-4531 · Fax (702) 600-7123

Other Identifiers 1

Medicaid451416AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. 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

Olubukola Komolafe Nurse Practitioner 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 ID7315200227

PECOS Enrollment IDI20180405002599

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 85044 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 5

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

IBUKUN AJOKE FAGBUYI PMHNP

Nurse Practitioner (Psychiatric/Mental Health)