MOBOLAJI ROSANWO DNP CRNP PHMNP-BC
NPI 1730753989
Nurse Practitioner - Psychiatric/Mental Health in Albany, NY
About Mobolaji Rosanwo Dnp Crnp Phmnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOBOLAJI ROSANWO DNP CRNP PHMNP-BC (NPI 1730753989) is an individual psychiatric/mental health provider in Albany, New York, licensed in Maryland (R223563) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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 and accepts Medicare assignment
Mobolaji Rosanwo Dnp Crnp Phmnp-bc 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBANY, NY 12207
ALBANY, NY 12207
ALBANY, NY 12207
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 Mobolaji Rosanwo's NPI number?
The NPI number for Mobolaji Rosanwo is 1730753989. It was assigned to this individual provider in the NPPES registry on May 13, 2021.
Where is Mobolaji Rosanwo located?
Mobolaji Rosanwo practices at 418 Broadway Ste N, Albany, NY 12207. The listed phone number is (443) 858-1968.
What is Mobolaji Rosanwo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mobolaji Rosanwo enrolled in Medicare?
Yes. Mobolaji Rosanwo 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.
What insurance does Mobolaji Rosanwo accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mobolaji Rosanwo 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 Mobolaji Rosanwo was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.
# Mobolaji Rosanwo, DNP CRNP PHMNP-BC · NPI 1730753989
Psychiatric/Mental Health physician in Albany, New York. Individual provider, active in the CMS NPPES registry since May 13, 2021.
## Identity
- **NPI:** 1730753989 (Entity type: Individual)
- **Enumerated:** May 13, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R223563 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 418 BROADWAY STE N, Albany, NY 12207-2922
- **Phone:** (443) 858-1968
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1730753989) · Data from the CMS NPPES public registry.