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FASILAT OLASUMBO NP
NPI 1144036476
Nurse Practitioner - Psychiatric/Mental Health in Lakewood, CO

Active since December 11, 2024PECOS Enrolled
1685 EATON ST # 80214, LAKEWOOD, CO 80214(720) 309-3712 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fasilat Olasumbo Np NPPES

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

FASILAT OLASUMBO NP (NPI 1144036476) is an individual psychiatric/mental health provider in Lakewood, Colorado, licensed in Colorado (2024091331) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1144036476
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameFASILAT OLASUMBOCredential: NP
Location Address1685 EATON ST # 80214Lakewood, CO 80214-1680
Mailing Address1685 Eaton St # 80214Lakewood, CO 80214-1680 · (720) 309-3712
Phone(720) 309-3712
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
✔ NPI 1144036476 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
License✔ Licensed in CO · 2024091331
1685 EATON ST # 80214, Lakewood, CO 80214
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fasilat Olasumbo Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951866359
PECOS Enrollment IDI20260716003240
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 Fasilat Olasumbo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Integrative Psychiatry PLLC
Same address
Psychiatric/Mental Health
1685 EATON ST
Lakewood, CO 80214
  • Reassigned Medicare billing, Colorado enrollment
NPI 1770389736 (303) 304-5795

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 80214 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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 Fasilat Olasumbo's NPI number?

The NPI number for Fasilat Olasumbo is 1144036476. It was assigned to this individual provider in the NPPES registry on December 11, 2024.

Where is Fasilat Olasumbo located?

Fasilat Olasumbo practices at 1685 Eaton St # 80214, Lakewood, CO 80214. The listed phone number is (720) 309-3712.

What is Fasilat Olasumbo's specialty?

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

Is Fasilat Olasumbo enrolled in Medicare?

Yes. Fasilat Olasumbo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fasilat Olasumbo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fasilat Olasumbo reassigns Medicare benefits to San Integrative Psychiatry PLLC (Lakewood, CO). 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 Fasilat Olasumbo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Fasilat Olasumbo was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.