THERESA OLUSOLA PMHNP
NPI 1447943154
Nurse Practitioner - Psychiatric/Mental Health in Homewood, IL

Q: What is Theresa Olusola's NPI number?

The NPI number for Theresa Olusola is 1447943154. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Q: What is Theresa Olusola'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 Theresa Olusola was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 30, 2023PECOS EnrolledAccepts Medicare Assignment

920 175TH ST STE 6, HOMEWOOD, IL 60430(708) 715-7440(708) 365-2949 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 25, 2025, May 30, 2023 (2 updates tracked since 2023).

On this page

About Theresa Olusola Pmhnp NPPES

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

THERESA OLUSOLA PMHNP (NPI 1447943154) is an individual psychiatric/mental health provider in Homewood, Illinois, licensed in Illinois (209.027525) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Hospital - Chicago, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1447943154

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTHERESA OLUSOLACredential: PMHNP

Location Address920 175TH ST STE 6Homewood, IL 60430-2077

Mailing Address920 175th St Ste 6Homewood, IL 60430-2077 · (708) 715-7440 · Fax (708) 365-2949

Phone(708) 715-7440

Fax(708) 365-2949

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 30, 2023

Last NPPES UpdateFebruary 25, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2025

✔ NPI 1447943154 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 IL · 209.027525

920 175TH ST STE 6, Homewood, IL 60430

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Theresa Olusola Pmhnp 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 ID2769768035

PECOS Enrollment IDI20231121003285

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

Medicare enrollment records show Theresa Olusola reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psygenic Health Inc

Same address

Psychiatric/Mental Health

920 175TH ST STE 6
Homewood, IL 60430

Reassigned Medicare billing, Illinois enrollment
2 clinicians in this Medicare group

NPI 1356152169 (708) 879-2975

Fabian Carbonell MD Sc

25 mi

Psychiatry

331 W SURF ST STE 708
Chicago, IL 60657

Reassigned Medicare billing, Illinois enrollment
16 clinicians in this Medicare group

NPI 1578767935 (773) 649-4261

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

70 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

61 services19 patients

Hospital Affiliations CMS Care Compare

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

Presence Saint Joseph Hospital - Chicago

Acute Care Hospitals · Chicago, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140224

Location2900 North Lake Shore DriveChicago, IL 60657 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60430 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GALEN STROLE

Social Worker (Clinical)

920 175TH ST STE 6
HOMEWOOD, IL 60430

Cook County (708) 991-7103

REBECCA STEWART

Counselor (Professional)

920 175TH ST STE 6
HOMEWOOD, IL 60430

Cook County (773) 413-9002

PSYGENIC HEALTH INC

Nurse Practitioner (Psychiatric/Mental Health)

920 175TH ST STE 6
HOMEWOOD, IL 60430

Cook County (708) 879-2975

MR. KYLE RAYMOND MILLER MA

Counselor (Professional)

920 175TH ST STE 6
HOMEWOOD, IL 60430

Cook County (773) 357-6361

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 Theresa Olusola's NPI number?

The NPI number for Theresa Olusola is 1447943154. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Where is Theresa Olusola located?

Theresa Olusola practices at 920 175th St Ste 6, Homewood, IL 60430. The listed phone number is (708) 715-7440.

What is Theresa Olusola's specialty?

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

Is Theresa Olusola enrolled in Medicare?

Yes. Theresa Olusola 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 Theresa Olusola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Olusola reassigns Medicare benefits to 2 organizations: Psygenic Health Inc (Homewood, IL) and Fabian Carbonell MD Sc (Chicago, IL). 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 Theresa Olusola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Olusola accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Theresa Olusola 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 Theresa Olusola affiliated with any hospitals?

According to CMS data, Theresa Olusola is affiliated with Presence Saint Joseph Hospital - Chicago.

When was this NPI record last updated?

The NPPES record for Theresa Olusola was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.