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OLUJIMI MOBOLAJI DAWODU
NPI 1336021138
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn Park, MN

Active since July 23, 2025PECOS EnrolledAccepts Medicare Assignment
3404 84TH AVE N, BROOKLYN PARK, MN 55443(612) 598-5746 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2026, Nov 11, 2025 (2 updates tracked since 2025).

About Olujimi Mobolaji Dawodu NPPES

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

OLUJIMI MOBOLAJI DAWODU (NPI 1336021138) is an individual psychiatric/mental health provider in Brooklyn Park, Minnesota, licensed in Washington (AP70029052) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1336021138
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameOLUJIMI MOBOLAJI DAWODU
Location Address3404 84TH AVE NBrooklyn Park, MN 55443-2758
Mailing Address3404 84th Ave NBrooklyn Park, MN 55443-2758 · (612) 598-5746
Phone(612) 598-5746
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 23, 2025
Last NPPES UpdateJanuary 2, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
✔ NPI 1336021138 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
Licenses✔ Licensed in WA · AP70029052✔ Licensed in MN · 13137✔ Licensed in OR · 10020104
3404 84TH AVE N, Brooklyn Park, MN 55443
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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

Olujimi Mobolaji Dawodu 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 ID6507344850
PECOS Enrollment IDI20260129000753
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 55443 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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 Olujimi Dawodu's NPI number?

The NPI number for Olujimi Dawodu is 1336021138. It was assigned to this individual provider in the NPPES registry on July 23, 2025.

Where is Olujimi Dawodu located?

Olujimi Dawodu practices at 3404 84th Ave N, Brooklyn Park, MN 55443. The listed phone number is (612) 598-5746.

What is Olujimi Dawodu's specialty?

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

Is Olujimi Dawodu enrolled in Medicare?

Yes. Olujimi Dawodu 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.

When was this NPI record last updated?

The NPPES record for Olujimi Dawodu was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.