MOFOLUSO O AGBELESE DNP
NPI 1194178558
Nurse Practitioner - Family in Providence, RI

Q: What is Mofoluso Agbelese's NPI number?

The NPI number for Mofoluso Agbelese is 1194178558. It was assigned to this individual provider in the NPPES registry on July 20, 2016.

Q: What is Mofoluso Agbelese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mofoluso Agbelese was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since July 20, 2016PECOS EnrolledAccepts Medicare Assignment

239 CRANSTON ST, PROVIDENCE, RI 02907(401) 444-0580(401) 444-0428 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2021, Apr 12, 2017 (2 updates tracked since 2017).

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About Mofoluso O Agbelese Dnp NPPES

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

MOFOLUSO O AGBELESE DNP (NPI 1194178558) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (APRN01357) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in North Providence, and is a graduate of University Of Massachusetts Medical School (2015).

NPPES Registry Identity

NPI1194178558

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMOFOLUSO O AGBELESECredential: DNP

Location Address239 CRANSTON STProvidence, RI 02907-2406

Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 444-0400 · Fax (401) 444-0468

Phone(401) 444-0580

Fax(401) 444-0428

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2015

Enumeration DateJuly 20, 2016

Last NPPES UpdateOctober 1, 20252 updates tracked since enumeration

NPPES CertifiedOctober 1, 2025

✔ NPI 1194178558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in RI · APRN01357

239 CRANSTON ST, Providence, RI 02907

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Secondary Practice Location 1

Location 1984 Charles StNorth Providence, RI 02904-5054 · Phone (401) 935-1804 ext. 51804 · Fax (401) 340-1904

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Mofoluso O Agbelese Dnp 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 ID3779870076

PECOS Enrollment IDI20160930000866

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 02907 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers11 claims22 services$3.60 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

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