OLUSHOLA A. BALOGUN NP
NPI 1649026998
Nurse Practitioner - Psychiatric/Mental Health in Grand Prairie, TX

Active since April 27, 2024PECOS Enrolled
811 W JEFFERSON ST, GRAND PRAIRIE, TX 75051(214) 662-2675 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2024, Apr 27, 2024 (2 updates tracked since 2024).

About Olushola A. Balogun Np NPPES

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

OLUSHOLA A. BALOGUN NP (NPI 1649026998) is an individual psychiatric/mental health provider in Grand Prairie, Texas, licensed in Texas (1000117) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649026998
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameOLUSHOLA A. BALOGUNCredential: NP
Location Address811 W JEFFERSON STGrand Prairie, TX 75051-1645
Mailing Address811 W Jefferson StGrand Prairie, TX 75051-1645 · (214) 662-2675
Sole ProprietorYes
Enumeration DateApril 27, 2024
Last NPPES UpdateSeptember 6, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
NPI 1649026998 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 TX · 1000117
811 W JEFFERSON ST, Grand Prairie, TX 75051

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Olushola A. Balogun Np 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 75051 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 2

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

Nurse Practitioner (Psychiatric/Mental Health)
811 W JEFFERSON ST
GRAND PRAIRIE, TX 75051
Nurse Practitioner (Psychiatric/Mental Health)
811 W JEFFERSON ST
GRAND PRAIRIE, TX 75051

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 Olushola Balogun's NPI number?

The NPI number for Olushola Balogun is 1649026998. It was assigned to this individual provider in the NPPES registry on April 27, 2024.

Where is Olushola Balogun located?

Olushola Balogun practices at 811 W Jefferson St, Grand Prairie, TX 75051. The listed phone number is (214) 662-2675.

What is Olushola Balogun's specialty?

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

Is Olushola Balogun enrolled in Medicare?

Yes. Olushola Balogun is registered in the Medicare PECOS enrollment system.

What insurance does Olushola Balogun accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company, Providence Health Plan and UnitedHealthcare list Olushola Balogun 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 Olushola Balogun was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.