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OLUKEMI AJIBOLA
NPI 1285021121
Physician Assistant in Mequon, WI

Active since April 17, 2015PECOS EnrolledAccepts Medicare Assignment
10600 N PORT WASHINGTON RD STE 200, MEQUON, WI 53092(262) 240-3100 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2023, Mar 27, 2023, Mar 21, 2023 and 1 more (4 updates tracked since 2023).

About Olukemi Ajibola NPPES

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

OLUKEMI AJIBOLA (NPI 1285021121) is an individual physician assistant in Mequon, Wisconsin, licensed in Wisconsin (7202-023) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285021121
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameOLUKEMI AJIBOLA
Location Address10600 N PORT WASHINGTON RD STE 200Mequon, WI 53092-5084
Mailing AddressN53w15851 Creekwood XingMenomonee Falls, WI 53051-0610 · (262) 844-7757
Phone(262) 240-3100
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 17, 2015
Last NPPES UpdateJune 23, 20234 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1285021121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 7202-023
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 52375 (CA)
10600 N PORT WASHINGTON RD STE 200, Mequon, WI 53092
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Secondary Practice Locations 2

Location 1803 Figueroa StWilmington, CA 90744-2300 · Phone (310) 974-8379
Location 210600 N Port Washington Rd Ste 200Mequon, WI 53092-5084 · Phone (262) 240-3100

Other Identifiers 1

Medicaid100227402WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and more.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

Olukemi Ajibola 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 ID6800117052
PECOS Enrollment IDI20230228000767
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.

Areas of Expertise CMS Part B claims 4

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.
50 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53092 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Olukemi Ajibola's NPI number?

The NPI number for Olukemi Ajibola is 1285021121. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Where is Olukemi Ajibola located?

Olukemi Ajibola practices at 10600 N Port Washington Rd Ste 200, Mequon, WI 53092. The listed phone number is (262) 240-3100.

What is Olukemi Ajibola's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Olukemi Ajibola enrolled in Medicare?

Yes. Olukemi Ajibola 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 Olukemi Ajibola accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Olukemi Ajibola 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.

Is Olukemi Ajibola affiliated with any hospitals?

According to CMS data, Olukemi Ajibola is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Olukemi Ajibola was last updated on June 23, 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.