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TEMITOPE OLUTADE PMHNP
NPI 1538822317
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since October 18, 2021PECOS EnrolledAccepts Medicare Assignment
5359 W FULLERTON AVE, CHICAGO, IL 60639(773) 836-2785(773) 836-7381 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 12, 2024, Oct 18, 2021 (2 updates tracked since 2021).

About Temitope Olutade Pmhnp NPPES

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

TEMITOPE OLUTADE PMHNP (NPI 1538822317) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209024131) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oak Park, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1538822317
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTEMITOPE OLUTADECredential: PMHNP
Location Address5359 W FULLERTON AVEChicago, IL 60639-1450
Mailing Address120 S Marion StOak Park, IL 60302-2809 · (773) 629-1231 · Fax (708) 383-7780
Phone(773) 836-2785
Fax(773) 836-7381
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 18, 2021
Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1538822317 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 IL · 209024131
5359 W FULLERTON AVE, Chicago, IL 60639
Open in Google Maps ↗

Secondary Practice Location 1

Location 1120 S Marion StOak Park, IL 60302-2809 · Phone (773) 629-1231 · Fax (708) 383-7780

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Oscar Health.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

Temitope Olutade 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 ID7719335348
PECOS Enrollment IDI20231121000760
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 Reassignments

2

Medicare enrollment records show Temitope Olutade reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pcc Community Wellness Center
2.6 mi
Federally Qualified Health Center (FQHC)
14 LAKE ST
Oak Park, IL 60302
  • Reassigned Medicare billing, Illinois enrollment
  • 221 clinicians in this Medicare group
NPI 1871516799 (708) 383-0113
Thrive Counseling Center
3.4 mi
Mental Health (Including Community Mental Health Center)
120 S MARION ST
Oak Park, IL 60302
  • Reassigned Medicare billing, Illinois enrollment
  • 13 clinicians in this Medicare group
NPI 1467586669 (708) 383-7500

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 60639 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

KRISTEN MARIE MOSER M.D.
Family Medicine
5359 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 836-2785
LAURA A LICEA LCSW
Social Worker (Clinical)
5359 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (708) 836-2785
RACHEL BRDICKA FNP
Nurse Practitioner (Family)
5359 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 836-2785
COURTNEY CLASSEN SMITH-MATTHEWS
Dietitian, Registered
5359 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 836-2785
YESENIA YEPEZ MD
Family Medicine
5359 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 836-2785
MAX ROLAND RUBEN MD
Family Medicine
5359 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 836-2785
DR. KESANET T GEBREKIDAN DDS
Dentist
5359 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 637-7053
GLADYS ESTRADA M.D.
Family Medicine
5359 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (708) 763-2369

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 Temitope Olutade's NPI number?

The NPI number for Temitope Olutade is 1538822317. It was assigned to this individual provider in the NPPES registry on October 18, 2021.

Where is Temitope Olutade located?

Temitope Olutade practices at 5359 W Fullerton Ave, Chicago, IL 60639. The listed phone number is (773) 836-2785.

What is Temitope Olutade's specialty?

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

Is Temitope Olutade enrolled in Medicare?

Yes. Temitope Olutade 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 Temitope Olutade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Temitope Olutade reassigns Medicare benefits to 2 organizations: Pcc Community Wellness Center (Oak Park, IL) and Thrive Counseling Center (Oak Park, IL). 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 Temitope Olutade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Temitope Olutade accept?

Health plans from Ambetter Health and Oscar Health list Temitope Olutade 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 Temitope Olutade was last updated on September 12, 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.