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OLUFUNMILOLA OGUNMODEDE RN
NPI 1568521573
Nurse Practitioner in Pueblo, CO

Active since December 06, 2006PECOS Enrolled
3937 IVYWOOD LN, PUEBLO, CO 81005(719) 553-0111(833) 918-2238 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Olufunmilola Ogunmodede Rn NPPES

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

OLUFUNMILOLA OGUNMODEDE RN (NPI 1568521573) is an individual nurse practitioner in Pueblo, Colorado, licensed in Colorado (APN.0999232) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1568521573
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameOLUFUNMILOLA OGUNMODEDECredential: RN
Location Address3937 IVYWOOD LNPueblo, CO 81005-2551
Mailing AddressPo Box 9000Pueblo, CO 81008-9000 · (719) 553-0111 · Fax (719) 553-2216
Phone(719) 553-0111
Fax(833) 918-2238
Sole ProprietorYes
Enumeration DateDecember 6, 2006
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1568521573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CO · APN.0999232
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 111416 (CO)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APN.0999232-NP (CO)
3937 IVYWOOD LN, Pueblo, CO 81005
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Secondary Practice Location 1

Location 115400 E 14th Pl Ste 309Aurora, CO 80011-5828 · Phone (303) 363-3022

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olufunmilola Ogunmodede Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 81005 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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 3

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

SOUTHERN COLORADO CLINIC PC
Clinic/Center
3937 IVYWOOD LN
PUEBLO, CO 81005
Pueblo County (719) 553-0111
DR. ROBERT LOUIS CARLISLE M.D.
Family Medicine
3937 IVYWOOD LN
PUEBLO, CO 81005
Pueblo County (719) 553-0111
DR. ROBERT BRUCE LUTES M.D.
Family Medicine
3937 IVYWOOD LN
PUEBLO, CO 81005
Pueblo County (719) 553-0111

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 Olufunmilola Ogunmodede's NPI number?

The NPI number for Olufunmilola Ogunmodede is 1568521573. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Olufunmilola Ogunmodede located?

Olufunmilola Ogunmodede practices at 3937 Ivywood Ln, Pueblo, CO 81005. The listed phone number is (719) 553-0111.

What is Olufunmilola Ogunmodede's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Olufunmilola Ogunmodede enrolled in Medicare?

Yes. Olufunmilola Ogunmodede is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olufunmilola Ogunmodede was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.