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BUKOLA JUMOKE OMOTOWON
NPI 1710786264
Nurse Practitioner - Psychiatric/Mental Health in Waukegan, IL

Active since March 10, 2025PECOS Enrolled
1741 KAYLA LN APT 3B, WAUKEGAN, IL 60087(773) 983-8173 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bukola Jumoke Omotowon NPPES

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

BUKOLA JUMOKE OMOTOWON (NPI 1710786264) is an individual psychiatric/mental health provider in Waukegan, Illinois, licensed in Illinois (209.031859) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1710786264
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBUKOLA JUMOKE OMOTOWON
Location Address1741 KAYLA LN APT 3BWaukegan, IL 60087-5805
Mailing Address1741 Kayla Ln Apt 3bWaukegan, IL 60087-5805
Phone(773) 983-8173
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 10, 2025
NPPES CertifiedMarch 8, 2025
✔ NPI 1710786264 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 · 209.031859
1741 KAYLA LN APT 3B, Waukegan, IL 60087
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bukola Jumoke Omotowon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698253656
PECOS Enrollment IDI20260130002637
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 Bukola Omotowon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Careplus Psychiatric Services Inc
438 mi
Psychiatric/Mental Health
2805 FOSTER AVE STE 207
Nashville, TN 37210
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • 5 clinicians in this Medicare group
NPI 1215670294 (206) 554-1900

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 60087 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.

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 Bukola Omotowon's NPI number?

The NPI number for Bukola Omotowon is 1710786264. It was assigned to this individual provider in the NPPES registry on March 10, 2025.

Where is Bukola Omotowon located?

Bukola Omotowon practices at 1741 Kayla Ln Apt 3B, Waukegan, IL 60087. The listed phone number is (773) 983-8173.

What is Bukola Omotowon's specialty?

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

Is Bukola Omotowon enrolled in Medicare?

Yes. Bukola Omotowon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bukola Omotowon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bukola Omotowon reassigns Medicare benefits to Careplus Psychiatric Services Inc (Nashville, TN). 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 Bukola Omotowon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bukola Omotowon accept?

Health plans from CareSource (Common Ground Healthcare) list Bukola Omotowon 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 Bukola Omotowon was last updated on March 10, 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.