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

Q: 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.

Q: 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.

Q: 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 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.

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: October 25, 2026.

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

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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

Phone(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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Olushola Balogun reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health Specialty Group PA

1,058 mi

Mental Health

110 N CORCORAN ST FL 5
Durham, NC 27701

Reassigned Medicare billing, Texas enrollment
315 clinicians in this Medicare group

NPI 1801472634 (323) 205-7088

Grow Healthcare Group PA

1,122 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Iowa and Texas enrollments
133 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LIVING SPRING FAMILY PSYCHIATRY

Nurse Practitioner (Psychiatric/Mental Health)

811 W JEFFERSON ST
GRAND PRAIRIE, TX 75051

Dallas County (214) 662-2675

TOPMIND PSYCHIATRIC MENTAL HEALTH & BEHAVIORAL SERVICES PLLC

Nurse Practitioner (Psychiatric/Mental Health)

811 W JEFFERSON ST
GRAND PRAIRIE, TX 75051

Dallas County (682) 358-1861

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.

Which organizations bill Medicare for Olushola Balogun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olushola Balogun reassigns Medicare benefits to 2 organizations: Mental Health Specialty Group PA (Durham, NC) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olushola Balogun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olushola Balogun accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers 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 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.