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DR. OMOTOLA WASILAT DANMOLE-ODIMAYO FNP-BC, DNP
NPI 1619179041
Nurse Practitioner - Psychiatric/Mental Health in Springfield, IL

Active since June 05, 2007PECOS EnrolledAccepts Medicare Assignment
2041 W ILES AVE STE C, SPRINGFIELD, IL 62704(217) 718-2910 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 16, 2025, Jun 11, 2025, Feb 7, 2019 (3 updates tracked since 2019).

About Dr. Omotola Wasilat Danmole-odimayo Fnp-bc, Dnp NPPES

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

DR. OMOTOLA WASILAT DANMOLE-ODIMAYO FNP-BC, DNP (NPI 1619179041) is an individual psychiatric/mental health provider in Springfield, Illinois, licensed in Illinois (209.006961) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1619179041
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. OMOTOLA WASILAT DANMOLE-ODIMAYOCredential: FNP-BC, DNP
Location Address2041 W ILES AVE STE CSpringfield, IL 62704-7006
Mailing Address2041 W Iles Ave Ste CSpringfield, IL 62704-7006 · (217) 718-2910
Phone(217) 718-2910
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJune 5, 2007
Last NPPES UpdateDecember 16, 20253 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1619179041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209.006961
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209.006961 (IL)
2041 W ILES AVE STE C, Springfield, IL 62704
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15850 6th Street Frontage Rd E Ste ASpringfield, IL 62703-5194 · Phone (217) 529-5046 · Fax (217) 529-6154
Location 27011 Preston DrSpringfield, IL 62711-4310 · Phone (217) 553-0266

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

Dr. Omotola Wasilat Danmole-odimayo Fnp-bc, Dnp 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 ID8123191848
PECOS Enrollment IDI20080714000466
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 62704 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

T H MENTAL HEALTH SERVICES
Psychiatry & Neurology (Psychiatry)
2041 W ILES AVE STE C
SPRINGFIELD, IL 62704
Sangamon County (217) 553-0266

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 Omotola Danmole-odimayo's NPI number?

The NPI number for Omotola Danmole-odimayo is 1619179041. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is Omotola Danmole-odimayo located?

Omotola Danmole-odimayo practices at 2041 W Iles Ave Ste C, Springfield, IL 62704. The listed phone number is (217) 718-2910.

What is Omotola Danmole-odimayo's specialty?

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

Is Omotola Danmole-odimayo enrolled in Medicare?

Yes. Omotola Danmole-odimayo 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.

When was this NPI record last updated?

The NPPES record for Omotola Danmole-odimayo was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.