SIMILOLUWA OLUTOMIWA OLUSHOLA
NPI 1184499873
Nurse Practitioner - Psychiatric/Mental Health in Trophy Club, TX

Active since November 22, 2023PECOS EnrolledAccepts Medicare Assignment
2800 E HIGHWAY 114 STE 350, TROPHY CLUB, TX 76262(855) 204-2502(817) 783-4672 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2026, Nov 22, 2023 (2 updates tracked since 2023).

About Similoluwa Olutomiwa Olushola NPPES

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

SIMILOLUWA OLUTOMIWA OLUSHOLA (NPI 1184499873) is an individual psychiatric/mental health provider in Trophy Club, Texas, licensed in Texas (1099886) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1184499873
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSIMILOLUWA OLUTOMIWA OLUSHOLA
Location Address2800 E HIGHWAY 114 STE 350Trophy Club, TX 76262-5309
Mailing Address6344 Sudbury LnMesquite, TX 75181-0009 · (817) 323-8792
Fax(817) 783-4672
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 22, 2023
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
NPI 1184499873 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 TX · 1099886
2800 E HIGHWAY 114 STE 350, Trophy Club, TX 76262

Other Names 1

Former Name (1)Similoluwa Olutomiwa Oyebanjo

Secondary Practice Locations 4

Location 118707 Hardy Oak Blvd Ste 105San Antonio, TX 78258-4792 · Phone (855) 204-2502 · Fax (817) 783-4672
Location 24825 Alliance Blvd Ste 150Plano, TX 75093-5577 · Phone (844) 824-8775 · Fax (281) 648-2200
Location 3411 N Washington Ave Ste 5200Dallas, TX 75246-1778 · Phone (855) 204-2502 · Fax (817) 783-4672
Location 4415 E Airport FwyIrving, TX 75062-6351 · Phone (972) 827-7169

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

Similoluwa Olutomiwa Olushola 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 ID4587199047
PECOS Enrollment IDI20241121001624
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 76262 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 3

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

Nurse Practitioner (Psychiatric/Mental Health)
2800 E HIGHWAY 114 STE 350
TROPHY CLUB, TX 76262
Clinical Nurse Specialist (Psychiatric/Mental Health)
2800 E HIGHWAY 114 STE 350
TROPHY CLUB, TX 76262
Nurse Practitioner (Psychiatric/Mental Health)
2800 E HIGHWAY 114 STE 350
TROPHY CLUB, TX 76262

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 Similoluwa Olushola's NPI number?

The NPI number for Similoluwa Olushola is 1184499873. It was assigned to this individual provider in the NPPES registry on November 22, 2023. The provider is also known as Similoluwa Olutomiwa Oyebanjo.

Where is Similoluwa Olushola located?

Similoluwa Olushola practices at 2800 E Highway 114 Ste 350, Trophy Club, TX 76262. The listed phone number is (855) 204-2502.

What is Similoluwa Olushola's specialty?

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

Is Similoluwa Olushola enrolled in Medicare?

Yes. Similoluwa Olushola 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 Similoluwa Olushola accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Similoluwa Olushola 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 Similoluwa Olushola was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.