MRS. OLUBUKOLA ELIZABETH AJAYI PMHNP
NPI 1154620912
Nurse Practitioner - Psychiatric/Mental Health in Richmond Hill, NY

Q: What is Olubukola Ajayi's NPI number?

The NPI number for Olubukola Ajayi is 1154620912. It was assigned to this individual provider in the NPPES registry on March 19, 2011.

Q: What is Olubukola Ajayi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Olubukola Ajayi was last updated on March 13, 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.

Active since March 19, 2011PECOS Enrolled

11606 MYRTLE AVE, RICHMOND HILL, NY 11418(718) 850-7099 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 13, 2023, Mar 1, 2023, May 21, 2021 (3 updates tracked since 2021).

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About Mrs. Olubukola Elizabeth Ajayi Pmhnp NPPES

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

MRS. OLUBUKOLA ELIZABETH AJAYI PMHNP (NPI 1154620912) is an individual psychiatric/mental health provider in Richmond Hill, New York, licensed in New York (F403941) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154620912

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. OLUBUKOLA ELIZABETH AJAYICredential: PMHNP

Location Address11606 MYRTLE AVERichmond Hill, NY 11418-1748

Mailing Address1441 E 86th StBrooklyn, NY 11236-5133 · (347) 217-0011

Phone(718) 850-7099

Sole ProprietorYes

Enumeration DateMarch 19, 2011

Last NPPES UpdateMarch 13, 20233 updates tracked since enumeration

NPPES CertifiedMarch 13, 2023

✔ NPI 1154620912 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

Licenses✔ Licensed in NY · F403941✔ Licensed in GA · RN302062✔ Licensed in NY · F4033941

Also ListedRegistered NurseTaxonomy 163W00000X · License 626867-1 (NY)

11606 MYRTLE AVE, Richmond Hill, NY 11418

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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)

Mrs. Olubukola Elizabeth Ajayi 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 Reassignments

Medicare enrollment records show Olubukola Ajayi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federation Of Organizations For The Ny State Mentally Disabled Inc

2.4 mi

Adult Mental Health

2830 PITKIN AVE
Brooklyn, NY 11208

Reassigned Medicare billing, New York enrollment
24 clinicians in this Medicare group

NPI 1285793919 (718) 235-8690

Family Residences And Essential Enterprises, Inc.

20 mi

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

191 SWEET HOLLOW RD
Old Bethpage, NY 11804

Reassigned Medicare billing, New York enrollment
25 clinicians in this Medicare group

NPI 1497943757 (516) 870-1600

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

Areas of Expertise CMS Part B claims 2

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.

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.

63 services27 patients

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11418 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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 9

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

RISEWELL COMMUNITY SERVICES

Community/Behavioral Health