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MULIKAT BOLANLE ILESANMI
NPI 1790124980
Nurse Practitioner - Psychiatric/Mental Health in Mansfield, TX

Active since June 20, 2013PECOS EnrolledAccepts Medicare Assignment
1409 OLD ROCKSPRINGS PASS, MANSFIELD, TX 76063(443) 713-9223 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2026, Jul 21, 2022 (2 updates tracked since 2022).

About Mulikat Bolanle Ilesanmi NPPES

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

MULIKAT BOLANLE ILESANMI (NPI 1790124980) is an individual psychiatric/mental health provider in Mansfield, Texas, licensed in Texas (363LP0808X) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1790124980
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMULIKAT BOLANLE ILESANMI
Location Address1409 OLD ROCKSPRINGS PASSMansfield, TX 76063-2219
Mailing Address1409 Old Rocksprings PassMansfield, TX 76063-2219 · (443) 713-9223
Phone(443) 713-9223
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 20, 2013
Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1790124980 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 TX · 363LP0808X
1409 OLD ROCKSPRINGS PASS, Mansfield, TX 76063
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Mulikat Bolanle Ilesanmi 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 ID3678057411
PECOS Enrollment IDI20260319003451
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 Mulikat Ilesanmi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

4l-A Clinic And Consultants Inc
14 mi
Psychiatric/Mental Health
102 E DANIELDALE RD STE 101
Duncanville, TX 75137
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
NPI 1659018604 (469) 868-6250

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 76063 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

FRANBO PROFESSIONAL SERVICES
Nurse Practitioner (Psychiatric/Mental Health)
1409 OLD ROCKSPRINGS PASS
MANSFIELD, TX 76063
Tarrant County (443) 713-9223

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 Mulikat Ilesanmi's NPI number?

The NPI number for Mulikat Ilesanmi is 1790124980. It was assigned to this individual provider in the NPPES registry on June 20, 2013.

Where is Mulikat Ilesanmi located?

Mulikat Ilesanmi practices at 1409 Old Rocksprings Pass, Mansfield, TX 76063. The listed phone number is (443) 713-9223.

What is Mulikat Ilesanmi's specialty?

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

Is Mulikat Ilesanmi enrolled in Medicare?

Yes. Mulikat Ilesanmi 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.

Which organization bills Medicare for Mulikat Ilesanmi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mulikat Ilesanmi reassigns Medicare benefits to 4l-A Clinic And Consultants Inc (Duncanville, TX). 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 Mulikat Ilesanmi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mulikat Ilesanmi accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Mulikat Ilesanmi 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 Mulikat Ilesanmi was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.