ABIMBOLA OTUFALE PMHNP
NPI 1508464397
Nurse Practitioner - Psychiatric/Mental Health in Atlanta, GA

Active since October 13, 2020PECOS EnrolledAccepts Medicare Assignment
PO BOX 748465, ATLANTA, GA 30374(855) 284-7483 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2024, Oct 13, 2020 (2 updates tracked since 2020).

About Abimbola Otufale Pmhnp NPPES

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

ABIMBOLA OTUFALE PMHNP (NPI 1508464397) is an individual psychiatric/mental health provider in Atlanta, Georgia, licensed in New Jersey (26NJ01068500) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newark, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1508464397
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameABIMBOLA OTUFALECredential: PMHNP
Location AddressPO BOX 748465Atlanta, GA 30374-8465
Mailing Address252b Camden StNewark, NJ 07103-2434
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 13, 2020
Last NPPES UpdateApril 30, 20252 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
NPI 1508464397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in NJ · 26NJ01068500 Licensed in CO · C-APN.0102715-C-NP Licensed in NY · 405429
Also ListedNurse PractitionerTaxonomy 363L00000X · License 1161913 (TX)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 346031 (NY)
PO BOX 748465, Atlanta, GA 30374

Secondary Practice Location 1

Location 1252B Camden StNewark, NJ 07103-2434 · Phone (516) 225-4296

Accepted 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

Abimbola Otufale 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 ID8426451279
PECOS Enrollment IDI20240715001096, I20251201001926
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 30374 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 (Professional)
PO BOX 748465
ATLANTA, GA 30374
Counselor (Mental Health)
PO BOX 748465
ATLANTA, GA 30374
Psychologist
PO BOX 748465
ATLANTA, GA 30374
Social Worker (Clinical)
PO BOX 748465
ATLANTA, GA 30374
Nurse Practitioner (Psychiatric/Mental Health)
PO BOX 748465
ATLANTA, GA 30374
Social Worker (Clinical)
PO BOX 748465
ATLANTA, GA 30374
Counselor (Professional)
PO BOX 748465
ATLANTA, GA 30374
Marriage & Family Therapist
PO BOX 748465
ATLANTA, GA 30374

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 Otufale's NPI number?

The NPI number for Abimbola Otufale is 1508464397. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Where is Abimbola Otufale located?

Abimbola Otufale practices at PO Box 748465, Atlanta, GA 30374. The listed phone number is (855) 284-7483.

What is Abimbola Otufale's specialty?

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

Is Abimbola Otufale enrolled in Medicare?

Yes. Abimbola Otufale 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 Abimbola Otufale accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Providence Health Plan and UnitedHealthcare list Abimbola Otufale 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 Otufale was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.