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MODUPEOLUWA MARIAM ODU-ONIKOSI
NPI 1689261513
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Family in Euless, TX

Active since December 27, 2020PECOS EnrolledAccepts Medicare Assignment
1401 ROYAL PKWY STE C, EULESS, TX 76040(214) 378-5577(214) 983-1110 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 26, 2025, Feb 11, 2025, Jan 14, 2021 and 1 more (4 updates tracked since 2020).

About Modupeoluwa Mariam Odu-onikosi NPPES

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

MODUPEOLUWA MARIAM ODU-ONIKOSI (NPI 1689261513) is an individual psychiatric/mental health, child & family provider in Euless, Texas, licensed in Texas (1026808) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1689261513
Entity TypeIndividualFemale
Primary Taxonomy364SP0810X
Provider Legal NameMODUPEOLUWA MARIAM ODU-ONIKOSI
Location Address1401 ROYAL PKWY STE CEuless, TX 76040-6725
Mailing Address1401 Royal Pkwy Ste CEuless, TX 76040-6725 · (214) 378-5577 · Fax (214) 983-1110
Phone(214) 378-5577
Fax(214) 983-1110
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 27, 2020
Last NPPES UpdateMarch 26, 20254 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1689261513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, Child & FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0810X
License✔ Licensed in TX · 1026808
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 880756 (TX)
1401 ROYAL PKWY STE C, Euless, TX 76040
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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 and accepts Medicare assignment

Modupeoluwa Mariam Odu-onikosi 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 ID7517346497
PECOS Enrollment IDI20220623001598
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 Reassignment

Medicare enrollment records show Modupeoluwa Odu-onikosi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Polished Mind Psychiatry PLLC
Same address
Psychiatric/Mental Health
1401 ROYAL PKWY STE C
Euless, TX 76040
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1811626849 (214) 378-5577

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 76040 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

POLISHED MIND PSYCHIATRY PLLC
Nurse Practitioner (Psychiatric/Mental Health)
1401 ROYAL PKWY STE C
EULESS, TX 76040
Tarrant County (214) 378-5577

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 Modupeoluwa Odu-onikosi's NPI number?

The NPI number for Modupeoluwa Odu-onikosi is 1689261513. It was assigned to this individual provider in the NPPES registry on December 27, 2020.

Where is Modupeoluwa Odu-onikosi located?

Modupeoluwa Odu-onikosi practices at 1401 Royal Pkwy Ste C, Euless, TX 76040. The listed phone number is (214) 378-5577.

What is Modupeoluwa Odu-onikosi's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Child & Family, with taxonomy code 364SP0810X.

Is Modupeoluwa Odu-onikosi enrolled in Medicare?

Yes. Modupeoluwa Odu-onikosi 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.

Which organization bills Medicare for Modupeoluwa Odu-onikosi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Modupeoluwa Odu-onikosi reassigns Medicare benefits to Polished Mind Psychiatry PLLC (Euless, TX). The 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 Modupeoluwa Odu-onikosi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Modupeoluwa Odu-onikosi 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 7 other insurers list Modupeoluwa Odu-onikosi 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 Modupeoluwa Odu-onikosi was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.