ABIMBOLA OTUFALE PMHNP
NPI 1508464397
Nurse Practitioner - Psychiatric/Mental Health in Atlanta, GA
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
Specialties & Licenses 3
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignments
10Medicare enrollment records show Abimbola Otufale reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lynchburg, VA 24504
- Reassigned Medicare billing, New Jersey enrollment
- 138 clinicians in this Medicare group
Brooklyn, NY 11214
- Reassigned Medicare billing, New York enrollment
- 9 clinicians in this Medicare group
New York, NY 10016
- Reassigned Medicare billing, New Jersey enrollment
- 32 clinicians in this Medicare group
Brooklyn, NY 11249
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: Valera Medical PA
- 16 clinicians in this Medicare group
Brooklyn, NY 11249
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Valera Medical PC
- 315 clinicians in this Medicare group
Brooklyn, NY 11249
- Reassigned Medicare billing, New Jersey enrollment
- 35 clinicians in this Medicare group
Hackensack, NJ 07601
- Reassigned Medicare billing, New Jersey and Texas enrollments
Bronx, NY 10451
- Reassigned Medicare billing, New York enrollment
- 32 clinicians in this Medicare group
Bronx, NY 10458
- Reassigned Medicare billing, New York enrollment
- 17 clinicians in this Medicare group
Seattle, WA 98103
- Reassigned Medicare billing, New Jersey enrollment
- 36 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Abimbola Otufale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abimbola Otufale reassigns Medicare benefits to 10 organizations: Thrive Counseling LLC (Lynchburg, VA), Ks Medical, PC (Brooklyn, NY), Lavender New Jersey Psychiatric Nurse Practitioner PC (New York, NY), Valera Medical, P.A. (Brooklyn, NY), Valera Medical, P.C. (Brooklyn, NY) and 5 more organizations, listed in the Medicare section above. 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 Abimbola Otufale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Abimbola Otufale accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Texas, Cigna Healthcare and Oscar Health and 2 other insurers 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 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.
# Abimbola Otufale, PMHNP · NPI 1508464397
Psychiatric/Mental Health physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since October 13, 2020.
## Identity
- **NPI:** 1508464397 (Entity type: Individual)
- **Enumerated:** October 13, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26NJ01068500 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** PO BOX 748465, Atlanta, GA 30374-8465
- **Phone:** (855) 284-7483
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Thrive Counseling LLC (NPI 1215181300, Lynchburg, VA); Ks Medical, PC (NPI 1295131506, Brooklyn, NY); Lavender New Jersey Psychiatric Nurse Practitioner PC (NPI 1629922950, New York, NY); Valera Medical, P.A. (NPI 1871248757, Brooklyn, NY); Valera Medical, P.C. (NPI 1437782349, Brooklyn, NY); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508464397) · Data from the CMS NPPES public registry.