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BOLATITO OLUBUKOLA OGUNSANWO APRN, CNP
NPI 1619747219
Nurse Practitioner in Woodstock, IL

Active since January 04, 2024PECOS EnrolledAccepts Medicare Assignment
3707 DOTY RD, WOODSTOCK, IL 60098(815) 334-5018(815) 206-2822 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2024, May 1, 2024, Jan 4, 2024 (3 updates tracked since 2024).

About Bolatito Olubukola Ogunsanwo Aprn, Cnp NPPES

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

BOLATITO OLUBUKOLA OGUNSANWO APRN, CNP (NPI 1619747219) is an individual nurse practitioner in Woodstock, Illinois, licensed in Illinois (209028763) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1619747219
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBOLATITO OLUBUKOLA OGUNSANWOCredential: APRN, CNP
Location Address3707 DOTY RDWoodstock, IL 60098-7530
Mailing Address3707 Doty RdWoodstock, IL 60098-7530 · (815) 334-5018 · Fax (815) 206-2822
Phone(815) 334-5018
Fax(815) 206-2822
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 4, 2024
Last NPPES UpdateJuly 23, 20243 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1619747219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209028763
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 ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 209.028763 (IL)
3707 DOTY RD, Woodstock, IL 60098
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Secondary Practice Location 1

Location 11620 W Harrison StChicago, IL 60612-3801 · Phone (312) 947-0565

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

Bolatito Olubukola Ogunsanwo Aprn, Cnp 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 ID8921449380
PECOS Enrollment IDI20240516000324
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 60098 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 9

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

APIWAT FORD DO
Emergency Medicine
3707 DOTY RD
WOODSTOCK, IL 60098
McHenry County (815) 338-6600
DR. DAVID JOHN MARTINEZ D.O.
Family Medicine
3707 DOTY RD, SUITE H
WOODSTOCK, IL 60098
McHenry County (815) 338-6600
DR. REBECCA BOLLINGER PARKER MD
Emergency Medicine
3707 DOTY RD
WOODSTOCK, IL 60098
McHenry County (815) 338-6600
DR. BRIAN KOSTUK D.O.
Emergency Medicine
3707 DOTY RD
WOODSTOCK, IL 60098
McHenry County (815) 338-6600
SWEDISHAMERICAN HOSPITAL
Pediatrics (Pediatric Gastroenterology)
3707 DOTY RD, MEDICAL OFFICE BUILDING 2
WOODSTOCK, IL 60098
McHenry County (815) 388-2500
CLARE LEGURSKY M.D.
Family Medicine
3707 DOTY RD
WOODSTOCK, IL 60098
McHenry County (815) 338-6600
DR. PATRICIA A NOFZINGER M.D.
Pediatrics
3707 DOTY RD, SUITE H
WOODSTOCK, IL 60098
McHenry County (815) 338-6600
DR. ARCHANA K REDDY MD
Emergency Medicine
3707 DOTY RD
WOODSTOCK, IL 60098
McHenry County (815) 338-6600

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 Bolatito Ogunsanwo's NPI number?

The NPI number for Bolatito Ogunsanwo is 1619747219. It was assigned to this individual provider in the NPPES registry on January 4, 2024.

Where is Bolatito Ogunsanwo located?

Bolatito Ogunsanwo practices at 3707 Doty Rd, Woodstock, IL 60098. The listed phone number is (815) 334-5018.

What is Bolatito Ogunsanwo's specialty?

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

Is Bolatito Ogunsanwo enrolled in Medicare?

Yes. Bolatito Ogunsanwo 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 Bolatito Ogunsanwo was last updated on July 23, 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.