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ABIDEMI BALOGUN PMHNP
NPI 1205605235
Nurse Practitioner - Psychiatric/Mental Health in Marshall, IL

Active since January 02, 2024PECOS EnrolledAccepts Medicare Assignment
410 N 2ND ST, MARSHALL, IL 62441(718) 506-1115 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Abidemi Balogun Pmhnp NPPES

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

ABIDEMI BALOGUN PMHNP (NPI 1205605235) is an individual psychiatric/mental health provider in Marshall, Illinois, licensed in Illinois (209028750) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Hospital - Chicago, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205605235
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameABIDEMI BALOGUNCredential: PMHNP
Location Address410 N 2ND STMarshall, IL 62441-1010
Mailing Address1372 Fargo Ave Apt BDes Plaines, IL 60018-2991
Phone(718) 506-1115
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 2, 2024
NPPES CertifiedJanuary 2, 2024
✔ NPI 1205605235 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 IL · 209028750
410 N 2ND ST, Marshall, IL 62441
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Abidemi Balogun Pmhnp 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 ID3173975778
PECOS Enrollment IDI20240119000372
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

3

Medicare enrollment records show Abidemi Balogun reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Supportive Care Of Illinois PC
Same address
Clinical
410 N 2ND ST
Marshall, IL 62441
  • Reassigned Medicare billing, Illinois enrollment
  • 5 clinicians in this Medicare group
NPI 1861199911 (866) 708-1240
Mugen Psychiatry LLC
170 mi
Psychiatry
600 W 22ND ST STE 260
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
  • 37 clinicians in this Medicare group
NPI 1861146284 (331) 291-8522
Fabian Carbonell MD Sc
176 mi
Psychiatry
331 W SURF ST STE 708
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • 16 clinicians in this Medicare group
NPI 1578767935 (773) 649-4261

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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,073 services315 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
972 services315 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
189 services189 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
55 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
49 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presence Saint Joseph Hospital - Chicago

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140224
Location2900 North Lake Shore DriveChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62441 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 20

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

MARK DAVID MARTIN COTA/L
Occupational Therapy Assistant
410 N 2ND ST
MARSHALL, IL 62441
Clark County (217) 826-2358
MS. BRANDI RENEE YORK OTR/L
Occupational Therapist
410 N 2ND ST
MARSHALL, IL 62441
Clark County (217) 826-2358
JULIE JUSTINE PEPITO SIOS-E
Physical Therapist
410 N 2ND ST
MARSHALL, IL 62441
Clark County (217) 826-2358
SGM PHYSICAL THERAPY
Physical Therapist
410 N 2ND ST
MARSHALL, IL 62441
Clark County (217) 826-2365
UNION ASSOCIATED PHYSICIANS CLINIC, LLC
Urology
410 N 2ND ST
MARSHALL, IL 62441
Clark County (217) 826-2361
JAMES A TURNER DO
Family Medicine
410 N 2ND ST
MARSHALL, IL 62441
Clark County (217) 826-2361
TERRE HAUTE MEDICAL LABORATORY, INC.
Clinical Medical Laboratory
410 N 2ND ST
MARSHALL, IL 62441
Clark County (812) 244-0100
BURNSIDES COMMUNITY HEALTH CENTER, NFP
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
410 N 2ND ST
MARSHALL, IL 62441
Clark County (217) 826-2358

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 Abidemi Balogun's NPI number?

The NPI number for Abidemi Balogun is 1205605235. It was assigned to this individual provider in the NPPES registry on January 2, 2024.

Where is Abidemi Balogun located?

Abidemi Balogun practices at 410 N 2nd St, Marshall, IL 62441. The listed phone number is (718) 506-1115.

What is Abidemi Balogun's specialty?

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

Is Abidemi Balogun enrolled in Medicare?

Yes. Abidemi Balogun 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.

Which organizations bill Medicare for Abidemi Balogun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abidemi Balogun reassigns Medicare benefits to 3 organizations: Supportive Care Of Illinois PC (Marshall, IL), Mugen Psychiatry LLC (Oak Brook, IL) and Fabian Carbonell MD Sc (Chicago, IL). Each 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 Abidemi Balogun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Abidemi Balogun affiliated with any hospitals?

According to CMS data, Abidemi Balogun is affiliated with Presence Saint Joseph Hospital - Chicago.

When was this NPI record last updated?

The NPPES record for Abidemi Balogun was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.