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OLALEKAN OLUMUYIWA FASOGBON PMHNP
NPI 1487442158
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since April 30, 2025PECOS EnrolledAccepts Medicare Assignment
10935 S HALSTED ST, CHICAGO, IL 60628(773) 419-0138 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olalekan Olumuyiwa Fasogbon Pmhnp NPPES

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

OLALEKAN OLUMUYIWA FASOGBON PMHNP (NPI 1487442158) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209.032300) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1487442158
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameOLALEKAN OLUMUYIWA FASOGBONCredential: PMHNP
Location Address10935 S HALSTED STChicago, IL 60628-3127
Mailing Address11724 S Justine StChicago, IL 60643-5028 · (773) 419-0138
Phone(773) 419-0138
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 30, 2025
Last NPPES UpdateAugust 13, 2025
NPPES CertifiedAugust 13, 2025
✔ NPI 1487442158 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 · 209.032300
10935 S HALSTED ST, Chicago, IL 60628
Open in Google Maps ↗

Accepted Insurance

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

Olalekan Olumuyiwa Fasogbon 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 ID8527579390
PECOS Enrollment IDI20250618001227
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 60628 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 7

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

HALSTED TERRACE NURSING CENTER INC
Skilled Nursing Facility
10935 S HALSTED ST
CHICAGO, IL 60628
Cook County (773) 928-2000
THE RENAISSANCE PARK SOUTH, LLC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
10935 S HALSTED ST
CHICAGO, IL 60628
Cook County (773) 928-2000
MRS. ADRIANA E MATOS DESAUTELS MHS, SLP-CF
Speech-Language Pathologist
10935 S HALSTED ST
CHICAGO, IL 60628
Cook County (708) 928-2000
MORGAN PARK HEALTHCARE LLC
Skilled Nursing Facility
10935 S HALSTED ST
CHICAGO, IL 60628
Cook County (773) 928-2000
RENAISSANCE PARK SOUTH, LLC
Skilled Nursing Facility
10935 S HALSTED ST
CHICAGO, IL 60628
Cook County (773) 928-2000
MS. ADONTAUS CHALMERS
Speech-Language Pathologist
10935 S HALSTED ST
CHICAGO, IL 60628
Cook County (773) 928-2000
SYMPHONY PARK SOUTH LLC
Skilled Nursing Facility
10935 S HALSTED ST
CHICAGO, IL 60628
Cook County (773) 928-2000

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 Olalekan Fasogbon's NPI number?

The NPI number for Olalekan Fasogbon is 1487442158. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Where is Olalekan Fasogbon located?

Olalekan Fasogbon practices at 10935 S Halsted St, Chicago, IL 60628. The listed phone number is (773) 419-0138.

What is Olalekan Fasogbon's specialty?

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

Is Olalekan Fasogbon enrolled in Medicare?

Yes. Olalekan Fasogbon 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.

What insurance does Olalekan Fasogbon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Olalekan Fasogbon 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 Olalekan Fasogbon was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.