ABIDEMI OLUSANYA PSYCH-NP
NPI 1528703097
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX

Active since April 29, 2022PECOS EnrolledAccepts Medicare Assignment
2626 COLE AVE, DALLAS, TX 75204(469) 613-2110(469) 809-7865 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 11, 2024, Apr 29, 2022 (2 updates tracked since 2022).

About Abidemi Olusanya Psych-np NPPES

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

ABIDEMI OLUSANYA PSYCH-NP (NPI 1528703097) is an individual psychiatric/mental health provider in Dallas, Texas, licensed in Texas (1062198) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1528703097
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameABIDEMI OLUSANYACredential: PSYCH-NP
Location Address2626 COLE AVEDallas, TX 75204-1083
Mailing Address2626 Cole AveDallas, TX 75204-1083 · (469) 613-2110 · Fax (469) 809-7865
Fax(469) 809-7865
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 29, 2022
Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
NPI 1528703097 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 TX · 1062198
2626 COLE AVE, Dallas, TX 75204

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

Abidemi Olusanya Psych-np 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 ID5890170062
PECOS Enrollment IDI20250305002158, I20250317001401
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 75204 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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

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

Home Health
2626 COLE AVE
DALLAS, TX 75204

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 Abidemi Olusanya's NPI number?

The NPI number for Abidemi Olusanya is 1528703097. It was assigned to this individual provider in the NPPES registry on April 29, 2022.

Where is Abidemi Olusanya located?

Abidemi Olusanya practices at 2626 Cole Ave, Dallas, TX 75204. The listed phone number is (469) 613-2110.

What is Abidemi Olusanya's specialty?

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

Is Abidemi Olusanya enrolled in Medicare?

Yes. Abidemi Olusanya 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 Abidemi Olusanya accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Health Plan, Inc., Oscar Insurance Company and Premera Blue Cross Blue Shield of Alaska and 2 other insurers list Abidemi Olusanya 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 Abidemi Olusanya was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.