1. Home
  2. Directory
  3. Idaho
  4. Meridian
  5. Nurse Practitioner
  6. NPI Profile

BABATUNDE SAMUEL OLOWU PMHNP-BC
NPI 1790664035
Nurse Practitioner - Psychiatric/Mental Health in Meridian, ID

Active since August 30, 2025PECOS EnrolledAccepts Medicare Assignment
1672 S WOODSAGE AVE, MERIDIAN, ID 83642(208) 515-2273(208) 515-2274 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Babatunde Samuel Olowu Pmhnp-bc NPPES

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

BABATUNDE SAMUEL OLOWU PMHNP-BC (NPI 1790664035) is an individual psychiatric/mental health provider in Meridian, Idaho, licensed in Idaho (6871160) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1790664035
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBABATUNDE SAMUEL OLOWUCredential: PMHNP-BC
Location Address1672 S WOODSAGE AVEMeridian, ID 83642-8329
Mailing Address1672 S Woodsage AveMeridian, ID 83642-8329 · (208) 515-2273 · Fax (208) 515-2274
Phone(208) 515-2273
Fax(208) 515-2274
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 30, 2025
Last NPPES UpdateSeptember 2, 2025
NPPES CertifiedSeptember 2, 2025
✔ NPI 1790664035 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 ID · 6871160
1672 S WOODSAGE AVE, Meridian, ID 83642
Open in Google Maps ↗

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

Babatunde Samuel Olowu 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 ID1456843143
PECOS Enrollment IDI20251120001425
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 83642 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 4

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

JARROD VAUGHN CRUMP NP
Nurse Practitioner (Psychiatric/Mental Health)
1672 S WOODSAGE AVE
MERIDIAN, ID 83642
Ada County (208) 515-2273
EMMANUEL TOBILOBA FASOOTO DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1672 S WOODSAGE AVE
MERIDIAN, ID 83642
Ada County (208) 248-4683
PAMELA KAY BRILL
Counselor
1672 S WOODSAGE AVE
MERIDIAN, ID 83642
Ada County (208) 515-2273
CARMEN MARIE STEPHENS DNP-PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1672 S WOODSAGE AVE
MERIDIAN, ID 83642
Ada County (208) 515-2273

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 Babatunde Olowu's NPI number?

The NPI number for Babatunde Olowu is 1790664035. It was assigned to this individual provider in the NPPES registry on August 30, 2025.

Where is Babatunde Olowu located?

Babatunde Olowu practices at 1672 S Woodsage Ave, Meridian, ID 83642. The listed phone number is (208) 515-2273.

What is Babatunde Olowu's specialty?

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

Is Babatunde Olowu enrolled in Medicare?

Yes. Babatunde Olowu 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 Babatunde Olowu was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.