OLUBUKUNOLA ODEYEMI
NPI 1528790060
Nurse Practitioner - Psychiatric/Mental Health in Mount Laurel, NJ
About Olubukunola Odeyemi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLUBUKUNOLA ODEYEMI (NPI 1528790060) is an individual psychiatric/mental health provider in Mount Laurel, New Jersey, licensed in New Jersey (26NR15421100) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Olubukunola Odeyemi 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
3Medicare enrollment records show Olubukunola Odeyemi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mount Laurel, NJ 08054
- Reassigned Medicare billing, New Jersey enrollment
Gloucester City, NJ 08030
- Reassigned Medicare billing, New Jersey enrollment
- 10 clinicians in this Medicare group
Hammonton, NJ 08037
- Reassigned Medicare billing, New Jersey enrollment
- 62 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 08054 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOUNT LAUREL, NJ 08054
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 Olubukunola Odeyemi's NPI number?
The NPI number for Olubukunola Odeyemi is 1528790060. It was assigned to this individual provider in the NPPES registry on June 24, 2022.
Where is Olubukunola Odeyemi located?
Olubukunola Odeyemi practices at 13 Lavister Dr, Mount Laurel, NJ 08054. The listed phone number is (973) 865-2129.
What is Olubukunola Odeyemi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Olubukunola Odeyemi enrolled in Medicare?
Yes. Olubukunola Odeyemi 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 Olubukunola Odeyemi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olubukunola Odeyemi reassigns Medicare benefits to 3 organizations: Daracy Behavioral Health Services (Mount Laurel, NJ), St Remi LLC (Gloucester City, NJ) and State Of New Jersey Omb Centralized Payroll (Hammonton, NJ). 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 Olubukunola Odeyemi'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 Olubukunola Odeyemi was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Olubukunola Odeyemi · NPI 1528790060
Psychiatric/Mental Health physician in Mount Laurel, New Jersey. Individual provider, active in the CMS NPPES registry since June 24, 2022.
## Identity
- **NPI:** 1528790060 (Entity type: Individual)
- **Enumerated:** June 24, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26NR15421100 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 13 LAVISTER DR, Mount Laurel, NJ 08054-2641
- **Phone:** (973) 865-2129
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Daracy Behavioral Health Services (NPI 1205709151, Mount Laurel, NJ); St Remi LLC (NPI 1144583519, Gloucester City, NJ); State Of New Jersey Omb Centralized Payroll (NPI 1629155502, Hammonton, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1528790060) · Data from the CMS NPPES public registry.