OMOLOLA ADEYEMI
NPI 1689389629
Nurse Practitioner - Psychiatric/Mental Health in Bloomingdale, IL

Q: What is Omolola Adeyemi's NPI number?

The NPI number for Omolola Adeyemi is 1689389629. It was assigned to this individual provider in the NPPES registry on January 13, 2023.

Q: What is Omolola Adeyemi'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 Omolola Adeyemi was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 13, 2023PECOS EnrolledAccepts Medicare Assignment

1 TIFFANY PT STE 110, BLOOMINGDALE, IL 60108(708) 382-1659 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Omolola Adeyemi NPPES

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

OMOLOLA ADEYEMI (NPI 1689389629) is an individual psychiatric/mental health provider in Bloomingdale, Illinois, licensed in Illinois (209026543) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1689389629

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameOMOLOLA ADEYEMI

Location Address1 TIFFANY PT STE 110Bloomingdale, IL 60108-2915

Mailing Address23035 Anna LnFrankfort, IL 60423 · (708) 382-1659

Phone(708) 382-1659

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 13, 2023

NPPES CertifiedDecember 31, 2022

✔ NPI 1689389629 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 IL · 209026543

1 TIFFANY PT STE 110, Bloomingdale, IL 60108

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Omolola Adeyemi 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 ID1456706837

PECOS Enrollment IDI20231005001845

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 Omolola Adeyemi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advance Psychiatry & Counseling, Sc.

0.6 mi

Psychiatry

1 TIFFANY PT STE 206
Bloomingdale, IL 60108

Reassigned Medicare billing, Illinois enrollment
17 clinicians in this Medicare group

NPI 1669563789 (630) 924-1160

Comfort Psychiatric Services Inc

31 mi

Psychiatric/Mental Health

100 BATSON CT STE 204
New Lenox, IL 60451

Reassigned Medicare billing, Illinois enrollment
3 clinicians in this Medicare group

NPI 1447025275 (708) 382-1659

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

113 services36 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

104 services34 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

34 services14 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60108 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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 6

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

KEVIN CONNOLLY

Counselor (Professional)