OLUSHINA O OLUTOSIN
NPI 1750254942
Nurse Practitioner - Gerontology in Plano, TX

Active since September 25, 2025PECOS EnrolledAccepts Medicare Assignment
1645 DORCHESTER DR, PLANO, TX 75075(972) 777-6656 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Olushina O Olutosin NPPES

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

OLUSHINA O OLUTOSIN (NPI 1750254942) is an individual gerontology provider in Plano, Texas, licensed in Texas (1212476) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1750254942
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameOLUSHINA O OLUTOSIN
Location Address1645 DORCHESTER DRPlano, TX 75075-6443
Mailing Address1645 Dorchester DrPlano, TX 75075-6443 · (972) 777-6656
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
NPI 1750254942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in TX · 1212476
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License 1212476 (TX)
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X · License 1212476 (TX)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 1212476 (TX)
1645 DORCHESTER DR, Plano, TX 75075

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

Olushina O Olutosin 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 ID6406340900
PECOS Enrollment IDI20251211002475, I20260518000030
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75075 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 3

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

Ophthalmology
1645 DORCHESTER DR
PLANO, TX 75075
Internal Medicine
1645 DORCHESTER DR
PLANO, TX 75075
Ophthalmology
1645 DORCHESTER DR
PLANO, TX 75075

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 Olushina Olutosin's NPI number?

The NPI number for Olushina Olutosin is 1750254942. It was assigned to this individual provider in the NPPES registry on September 25, 2025.

Where is Olushina Olutosin located?

Olushina Olutosin practices at 1645 Dorchester Dr, Plano, TX 75075. The listed phone number is (972) 777-6656.

What is Olushina Olutosin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Olushina Olutosin enrolled in Medicare?

Yes. Olushina Olutosin 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.

When was this NPI record last updated?

The NPPES record for Olushina Olutosin was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.