IBUKUN ODUTOLA
NPI 1801404074
Nurse Practitioner - Psychiatric/Mental Health in Prescott Valley, AZ
About Ibukun Odutola NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IBUKUN ODUTOLA (NPI 1801404074) is an individual psychiatric/mental health provider in Prescott Valley, Arizona, licensed in Nevada (810773) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Ibukun Odutola 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PRESCOTT VALLEY, AZ 86314
PRESCOTT VALLEY, AZ 86314
PRESCOTT VALLEY, AZ 86314
PRESCOTT VALLEY, AZ 86314
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 Ibukun Odutola's NPI number?
The NPI number for Ibukun Odutola is 1801404074. It was assigned to this individual provider in the NPPES registry on July 14, 2020.
Where is Ibukun Odutola located?
Ibukun Odutola practices at 3345 N Windsong Dr, Prescott Valley, AZ 86314. The listed phone number is (928) 445-5211.
What is Ibukun Odutola's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Ibukun Odutola enrolled in Medicare?
Yes. Ibukun Odutola 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.
What insurance does Ibukun Odutola accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and Providence Health Plan and 1 other insurer list Ibukun Odutola 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 Ibukun Odutola was last updated on January 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.