MR. BAYO BABATUNDE AGBOLADE PMHNP-BC
NPI 1780198192
Nurse Practitioner - Psychiatric/Mental Health in Crestwood, IL

Q: What is Bayo Agbolade's NPI number?

The NPI number for Bayo Agbolade is 1780198192. It was assigned to this individual provider in the NPPES registry on November 21, 2017.

Q: What is Bayo Agbolade'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 Bayo Agbolade was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 21, 2017PECOS EnrolledAccepts Medicare Assignment

4711 MIDLOTHIAN TPKE STE 14, CRESTWOOD, IL 60418(779) 910-8196(708) 963-0105 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 15, 2026, Jul 11, 2022, Feb 23, 2021 and 1 more (4 updates tracked since 2017).

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About Mr. Bayo Babatunde Agbolade Pmhnp-bc NPPES

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

MR. BAYO BABATUNDE AGBOLADE PMHNP-BC (NPI 1780198192) is an individual psychiatric/mental health provider in Crestwood, Illinois, licensed in Illinois (277004414) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1780198192

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. BAYO BABATUNDE AGBOLADECredential: PMHNP-BC

Location Address4711 MIDLOTHIAN TPKE STE 14Crestwood, IL 60418-4903

Mailing Address4711 Midlothian Tpke Ste 14Crestwood, IL 60418-4903 · (708) 743-2714 · Fax (708) 963-0105

Phone(779) 910-8196

Fax(708) 963-0105

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 21, 2017

Last NPPES UpdateJanuary 15, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2026

✔ NPI 1780198192 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 · 277004414

4711 MIDLOTHIAN TPKE STE 14, Crestwood, IL 60418

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Mr. Bayo Babatunde Agbolade Pmhnp-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.

PECOS PAC ID4688035959

PECOS Enrollment IDI20230802003697

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 60418 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

JBMV HEALTH ASSOCIATES, LLC

Homemaker

4711 MIDLOTHIAN TPKE STE 14
CRESTWOOD, IL 60418

Cook County (708) 743-2714

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 Bayo Agbolade's NPI number?

The NPI number for Bayo Agbolade is 1780198192. It was assigned to this individual provider in the NPPES registry on November 21, 2017.

Where is Bayo Agbolade located?

Bayo Agbolade practices at 4711 Midlothian Tpke Ste 14, Crestwood, IL 60418. The listed phone number is (779) 910-8196.

What is Bayo Agbolade's specialty?

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

Is Bayo Agbolade enrolled in Medicare?

Yes. Bayo Agbolade 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 Bayo Agbolade was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.