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EBUNOLA M AYOOLA-YUSSUF PMHNP
NPI 1497938849
Nurse Practitioner - Psychiatric/Mental Health in Woodbridge, VA

Active since December 07, 2007PECOS EnrolledAccepts Medicare Assignment
13000 HARBOR CENTER DR STE 103, WOODBRIDGE, VA 22192(703) 977-6556(703) 997-1490 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 25, 2025, Nov 1, 2023, Aug 25, 2022 and 5 more (8 updates tracked since 2021).

About Ebunola M Ayoola-yussuf Pmhnp NPPES

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

EBUNOLA M AYOOLA-YUSSUF PMHNP (NPI 1497938849) is an individual psychiatric/mental health provider in Woodbridge, Virginia, licensed in Virginia (0024182859) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1497938849
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEBUNOLA M AYOOLA-YUSSUFCredential: PMHNP
Location Address13000 HARBOR CENTER DR STE 103Woodbridge, VA 22192-2847
Mailing Address13000 Harbor Center Dr Ste 103Woodbridge, VA 22192-2847 · (703) 977-6556 · Fax (703) 997-1490
Phone(703) 977-6556
Fax(703) 997-1490
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 7, 2007
Last NPPES UpdateMay 2, 20258 updates tracked since enumeration
NPPES CertifiedMay 2, 2025
✔ NPI 1497938849 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
Licenses✔ Licensed in VA · 0024182859✔ Licensed in DC · NP1036470✔ Licensed in CO · CAPN0003423C✔ Licensed in CA · 95372110✔ Licensed in NY · 403906✔ Licensed in CA · 95030650
13000 HARBOR CENTER DR STE 103, Woodbridge, VA 22192
Open in Google Maps ↗

Other Identifiers 1

Other0024182859VA · Psychiatric Nurse Practitioner

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

Ebunola M Ayoola-yussuf 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 ID3072905330
PECOS Enrollment IDI20220118001260
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 Reassignment

Medicare enrollment records show Ebunola Ayoola-yussuf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Potomac Shores Mental Health & Wellness LLC
Same address
Psychiatric/Mental Health
13000 HARBOR CENTER DR STE 103
Woodbridge, VA 22192
  • Reassigned Medicare billing, Virginia enrollment
  • 7 clinicians in this Medicare group
NPI 1902562507 (703) 977-6556

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 3

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.
144 services39 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
132 services33 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22192 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 2

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

OLGA VLADIMIROVNA WYMORE
Nurse Practitioner (Psychiatric/Mental Health)
13000 HARBOR CENTER DR STE 103
WOODBRIDGE, VA 22192
Prince William County (804) 982-4370
POTOMAC SHORES MENTAL HEALTH & WELLNESS LLC
Nurse Practitioner (Psychiatric/Mental Health)
13000 HARBOR CENTER DR STE 103
WOODBRIDGE, VA 22192
Prince William County (703) 977-6556

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 Ebunola Ayoola-yussuf's NPI number?

The NPI number for Ebunola Ayoola-yussuf is 1497938849. It was assigned to this individual provider in the NPPES registry on December 7, 2007.

Where is Ebunola Ayoola-yussuf located?

Ebunola Ayoola-yussuf practices at 13000 Harbor Center Dr Ste 103, Woodbridge, VA 22192. The listed phone number is (703) 977-6556.

What is Ebunola Ayoola-yussuf's specialty?

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

Is Ebunola Ayoola-yussuf enrolled in Medicare?

Yes. Ebunola Ayoola-yussuf 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 Ebunola Ayoola-yussuf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebunola Ayoola-yussuf reassigns Medicare benefits to Potomac Shores Mental Health & Wellness LLC (Woodbridge, VA). 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 Ebunola Ayoola-yussuf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ebunola Ayoola-yussuf was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.