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

Active since June 20, 2013PECOS Enrolled
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: July 26, 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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mulikat Bolanle Ilesanmi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Mulikat Ilesanmi was last updated on February 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.