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MERCYLAND PSYCHIATRY
NPI 1194228114
Psychiatry & Neurology - Child & Adolescent Psychiatry in Sun Prairie, WI

Active since March 15, 2018
530 W MAIN ST, SUN PRAIRIE, WI 53590(802) 399-9114(608) 318-2789 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2018, Mar 15, 2018 (2 updates tracked since 2018).

About Mercyland Psychiatry NPPES

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

MERCYLAND PSYCHIATRY (NPI 1194228114) is a healthcare organization registered as a child & adolescent psychiatry in Sun Prairie, Wisconsin and active in the NPI registry since March 2018. The organization lists Adebowale Mofikoya, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1194228114
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameMERCYLAND PSYCHIATRY INC
Location Address530 W MAIN STSun Prairie, WI 53590-3219
Mailing Address530 W Main StSun Prairie, WI 53590-3219 · (802) 399-9114 · Fax (608) 318-2789
Phone(802) 399-9114
Fax(608) 318-2789
Organization SubpartNo
Authorized OfficialAdebowale MofikoyaMedical Director · (802) 399-9114
Enumeration DateMarch 15, 2018
Last NPPES UpdateMay 7, 20182 updates tracked since enumeration
✔ NPI 1194228114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in WI · 60574-20
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
530 W MAIN ST, Sun Prairie, WI 53590
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Other Names 1

Doing Business AsMercyland Psychiatry

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 Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercyland Psychiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mercyland Psychiatry, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Adebowale Mofikoya, M.D.
Psychiatry
NPI 1275794422
425 W MAIN ST STE 201
Sun Prairie, WI 53590
(608) 318-2233
✔ PECOS✔ Accepts Medicare0.6 mi
Jean Trost, NURSE PRACTITIONER
Nurse Practitioner
NPI 1962164798
425 W MAIN ST STE 201
Sun Prairie, WI 53590
(608) 318-2233
✔ PECOS✔ Accepts Medicare0.6 mi
Fauzia Green
Nurse Practitioner
NPI 1851176283
4811 S 76TH ST STE 208
Greenfield, WI 53220
(262) 999-3495
✔ PECOS✔ Accepts Medicare63 mi

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

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 Mercyland Psychiatry Inc's NPI number?

The NPI number for Mercyland Psychiatry Inc is 1194228114. It was assigned to this organization in the NPPES registry on March 15, 2018. The provider is doing business as Mercyland Psychiatry.

Where is Mercyland Psychiatry Inc located?

Mercyland Psychiatry Inc is located at 530 W Main St, Sun Prairie, WI 53590. The listed phone number is (802) 399-9114.

What is Mercyland Psychiatry Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Mercyland Psychiatry Inc enrolled in Medicare?

Yes. Mercyland Psychiatry Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mercyland Psychiatry Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Mercyland Psychiatry Inc, in Nurse Practitioner and Psychiatry. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mercyland Psychiatry Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners and Quartz list Mercyland Psychiatry Inc 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 Mercyland Psychiatry Inc was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.