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

Q: 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.

Q: 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.

Q: 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.

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: August 02, 2026.

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

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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

Phone(214) 743-1200

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Health Maintenance Organization of Florida 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

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

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 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.

PIN-HSUAN HUANG

Counselor (Mental Health)