MRS. ABIMBOLA OLOLADE ADEBOYE MHNP
NPI 1356984728
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX

Active since October 18, 2019PECOS EnrolledAccepts Medicare Assignment
4645 SAMUELL BLVD, DALLAS, TX 75228(214) 743-1200 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2022, Jan 6, 2022, Mar 4, 2021 and 1 more (4 updates tracked since 2019).

About Mrs. Abimbola Ololade Adeboye Mhnp NPPES

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

MRS. ABIMBOLA OLOLADE ADEBOYE MHNP (NPI 1356984728) is an individual psychiatric/mental health provider in Dallas, Texas, licensed in Texas (AP143589) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1356984728
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. ABIMBOLA OLOLADE ADEBOYECredential: MHNP
Location Address4645 SAMUELL BLVDDallas, TX 75228-6826
Mailing Address4505 Ann CtMansfield, TX 76063-8671 · (817) 583-2765
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 18, 2019
Last NPPES UpdateJuly 6, 20224 updates tracked since enumeration
NPPES CertifiedJuly 6, 2022
✔ NPI 1356984728 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 TX · AP143589
4645 SAMUELL BLVD, Dallas, TX 75228

Secondary Practice Locations 3

Location 11345 River Bend Dr Ste 200Dallas, TX 75247-6945 · Phone (214) 743-1200
Location 24505 Ann CtMansfield, TX 76063-8671 · Phone (817) 583-2765
Location 31020 S Carrier PkwyGrand Prairie, TX 75051-1527 · Phone (214) 330-2488

Other Identifiers 1

OtherAP143589TX · Texas Board Of Nursing

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

Mrs. Abimbola Ololade Adeboye Mhnp 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 ID9133535206
PECOS Enrollment IDI20210316000326, I20220630000346
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 Abimbola Adeboye reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
3242 REMOND DR
Dallas, TX 75211
  • Reassigned Medicare billing, Texas enrollment
  • 173 clinicians in this Medicare group
Community/Behavioral Health
1951 NW 7TH AVE FL 3
Miami, FL 33136
  • Reassigned Medicare billing, Texas enrollment
  • 128 clinicians in this Medicare group
Psychiatry
360 NW 27TH ST, SUITE 08-109
Miami, FL 33127
  • Reassigned Medicare billing, Florida and Texas enrollments
  • 114 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 75228 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Counselor (Mental Health)
4645 SAMUELL BLVD
DALLAS, TX 75228
Nurse Practitioner
4645 SAMUELL BLVD
DALLAS, TX 75228
Registered Nurse (Psychiatric/Mental Health)
4645 SAMUELL BLVD
DALLAS, TX 75228
Pharmacist
4645 SAMUELL BLVD
DALLAS, TX 75228
Nurse Practitioner (Psychiatric/Mental Health)
4645 SAMUELL BLVD
DALLAS, TX 75228
Counselor
4645 SAMUELL BLVD
DALLAS, TX 75228
Counselor (Addiction (Substance Use Disorder))
4645 SAMUELL BLVD
DALLAS, TX 75228
Counselor (Professional)
4645 SAMUELL BLVD
DALLAS, TX 75228

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 Abimbola Adeboye's NPI number?

The NPI number for Abimbola Adeboye is 1356984728. It was assigned to this individual provider in the NPPES registry on October 18, 2019.

Where is Abimbola Adeboye located?

Abimbola Adeboye practices at 4645 Samuell Blvd, Dallas, TX 75228. The listed phone number is (214) 743-1200.

What is Abimbola Adeboye's specialty?

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

Is Abimbola Adeboye enrolled in Medicare?

Yes. Abimbola Adeboye 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 Abimbola Adeboye's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abimbola Adeboye reassigns Medicare benefits to 3 organizations: Dallas County Mental Health & Mental Retardation Center (Dallas, TX), Brave Health Medical Group PA (Miami, FL) and Author Health Professionals, PC (Miami, FL). 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 Abimbola Adeboye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abimbola Adeboye accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Texas and WellPoint list Abimbola Adeboye 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 Abimbola Adeboye was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.