OLUFUNKE ELIZABETH FADAHUNSI
NPI 1548959075
Nurse Practitioner - Family in Las Vegas, NV

Q: What is Olufunke Fadahunsi's NPI number?

The NPI number for Olufunke Fadahunsi is 1548959075. It was assigned to this individual provider in the NPPES registry on May 2, 2023.

Q: What is Olufunke Fadahunsi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since May 02, 2023PECOS EnrolledAccepts Medicare Assignment

3835 S JONES BLVD, LAS VEGAS, NV 89103(702) 880-4193 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2023, May 2, 2023 (2 updates tracked since 2023).

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About Olufunke Elizabeth Fadahunsi NPPES

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

OLUFUNKE ELIZABETH FADAHUNSI (NPI 1548959075) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (F04230445) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1548959075

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameOLUFUNKE ELIZABETH FADAHUNSI

Location Address3835 S JONES BLVDLas Vegas, NV 89103-7125

Mailing Address3835 S Jones BlvdLas Vegas, NV 89103-7125 · (702) 880-4193

Phone(702) 880-4193

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 2, 2023

Last NPPES UpdateJuly 11, 20232 updates tracked since enumeration

NPPES CertifiedJuly 11, 2023

✔ NPI 1548959075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in NV · F04230445✔ Licensed in NV · 814483

3835 S JONES BLVD, Las Vegas, NV 89103

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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

Olufunke Elizabeth Fadahunsi 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 ID6608239983

PECOS Enrollment IDI20230905001525

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 89103 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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 15

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

RALPH JOSEPH REAL BORROMEO APRN

Nurse Practitioner (Family)