Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ADESOLA W OLUTAYO APRN- PMHNP
NPI 1790570430
Nurse Practitioner - Psychiatric/Mental Health in Richmond, TX

Active since April 14, 2025PECOS Enrolled
3831 TARRAGON BEND DR, RICHMOND, TX 77406(713) 478-2758(281) 318-1890 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Adesola W Olutayo Aprn- Pmhnp NPPES

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

ADESOLA W OLUTAYO APRN- PMHNP (NPI 1790570430) is an individual psychiatric/mental health provider in Richmond, Texas, licensed in Texas (1194437) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2017).

NPPES Registry Identity

NPI1790570430
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameADESOLA W OLUTAYOCredential: APRN- PMHNP
Location Address3831 TARRAGON BEND DRRichmond, TX 77406-2618
Mailing Address3831 Tarragon Bend DrRichmond, TX 77406-2618 · (713) 478-2758 · Fax (281) 318-1890
Fax(281) 318-1890
Sole ProprietorYes
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2017
Enumeration DateApril 14, 2025
Last NPPES UpdateSeptember 24, 2026
NPPES CertifiedSeptember 24, 2026
✔ NPI 1790570430 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
Licenses✔ Licensed in TX · 1194437✔ Licensed in OR · 10042515
3831 TARRAGON BEND DR, Richmond, TX 77406

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adesola W Olutayo Aprn- Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476615717
PECOS Enrollment IDI20260520001302, I20260806001981
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 Reassignments

2

Medicare enrollment records show Adesola Olutayo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
419 MALCOLM DR
Westminster, MD 21157
  • Reassigned Medicare billing, Maryland enrollment
Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Texas enrollment
  • 42 clinicians in this Medicare group

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 77406 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 2

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

Home Health
3831 TARRAGON BEND DR
RICHMOND, TX 77406
Clinic/Center (Health Service)
3831 TARRAGON BEND DR
RICHMOND, TX 77406

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 Adesola Olutayo's NPI number?

The NPI number for Adesola Olutayo is 1790570430. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Where is Adesola Olutayo located?

Adesola Olutayo practices at 3831 Tarragon Bend Dr, Richmond, TX 77406. The listed phone number is (713) 478-2758.

What is Adesola Olutayo's specialty?

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

Is Adesola Olutayo enrolled in Medicare?

Yes. Adesola Olutayo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adesola Olutayo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adesola Olutayo reassigns Medicare benefits to 2 organizations: Clearpaths Psychiatry And Wellness LLC (Westminster, MD) and Mindful Therapy Group PC (Mountlake Terrace, WA). Each 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 Adesola Olutayo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adesola Olutayo accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Community First, Moda Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Adesola Olutayo 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 Adesola Olutayo was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 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.