OLUJIMI MOBOLAJI DAWODU
NPI 1336021138
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn Park, MN
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
Specialties & Licenses
Accepted Insurance
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Olujimi Dawodu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Redmond, WA 98052
- Reassigned Medicare billing, Washington enrollment
- 69 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Olujimi Dawodu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olujimi Dawodu reassigns Medicare benefits to Lightheart Associates Ps (Redmond, WA). The 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 Olujimi Dawodu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Olujimi Dawodu accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Olujimi Dawodu 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 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 9 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.
# Olujimi Mobolaji Dawodu · NPI 1336021138
Psychiatric/Mental Health physician in Brooklyn Park, Minnesota. Individual provider, active in the CMS NPPES registry since July 23, 2025.
## Identity
- **NPI:** 1336021138 (Entity type: Individual)
- **Enumerated:** July 23, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** AP70029052 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3404 84TH AVE N, Brooklyn Park, MN 55443-2758
- **Phone:** (612) 598-5746
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lightheart Associates Ps (NPI 1609221720, Redmond, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** January 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1336021138) · Data from the CMS NPPES public registry.