OLUBODUN AJIBAYO OFAKUNRIN PMHNP, CNP
NPI 1790657633
Nurse Practitioner - Psychiatric/Mental Health in New Brighton, MN

NPI Status: Active since September 20, 2025

Contact Information

1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN
ZIP 55112
Phone: (651) 628-9566
Fax: (651) 628-0411

Get Directions Write a Review

  • Individual
  • Male
  • Years of Experience 1
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About OLUBODUN OFAKUNRIN

This page provides the complete NPI Profile along with additional information for Olubodun Ofakunrin, a provider established in New Brighton, Minnesota with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health and more than one year of experience. The healthcare provider is registered in the NPI registry with number 1790657633 assigned on September 2025. The practitioner's primary taxonomy code is 363LP0808X with license number 13390 (MN). The provider is registered as an individual and his NPI record was last updated December 2025.

NPI
1790657633
Provider Name
OLUBODUN AJIBAYO OFAKUNRIN PMHNP, CNP
Gender
Male
Entity Type
Individual
Location Address
1900 SILVER LAKE RD NW STE 110 NEW BRIGHTON, MN 55112
Location Phone
(651) 628-9566
Location Fax
(651) 628-0411
Mailing Address
1811 WEIR DR STE 270 WOODBURY, MN 55125
Mailing Phone
(651) 714-9646
Mailing Fax
(651) 628-0411
Medical School Name
OTHER
Graduation Year
2025
Is Sole Proprietor?
Yes
Enumeration Date
09-20-2025
Last Update Date
12-11-2025
Code Navigator

A nurse practitioner (NP) like Olubodun Ofakunrin is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
13390
License State
MN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Olubodun Ofakunrin is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Olubodun Ofakunrin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3173014800

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20251111001792

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55112 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.82
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $21.45
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.61
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $24.65
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for OLUBODUN AJIBAYO OFAKUNRIN PMHNP, CNP

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790657633, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 6 → 12 → 3 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 1 + 2 + 5 + 1 + 4 + 6 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1790657633.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Counselor (Addiction (Substance Use Disorder))
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Counselor (Mental Health)
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Counselor (Addiction (Substance Use Disorder))
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Counselor (Mental Health)
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Nurse Practitioner (Psychiatric/Mental Health)
1900 SILVER LAKE RD NW STE 110, NYSTROM & ASSOCIATES
NEW BRIGHTON, MN 55112
Counselor (Mental Health)
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Counselor (Addiction (Substance Use Disorder))
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Nurse Practitioner (Psychiatric/Mental Health)
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Counselor (Addiction (Substance Use Disorder))
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Psychologist
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Psychologist (Counseling)
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Social Worker (Clinical)
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Physician Assistant
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Psychologist (Clinical)
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Counselor (Mental Health)
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Counselor (Mental Health)
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Counselor (Addiction (Substance Use Disorder))
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Dietitian, Registered
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Counselor (Addiction (Substance Use Disorder))
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790657633, enumerated as an "individual" on September 20, 2025.

The provider is located at 1900 SILVER LAKE RD NW STE 110 NEW BRIGHTON, MN 55112 and the phone number is (651) 628-9566.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.