BUKOLA OLUWASHOLA KUTI
NPI 1811708100
Nurse Practitioner - Psychiatric/Mental Health in Woodbury, MN

Active since January 15, 2025PECOS Enrolled
4265 CORN SILK LN, WOODBURY, MN 55129(651) 230-1900 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bukola Oluwashola Kuti NPPES

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

BUKOLA OLUWASHOLA KUTI (NPI 1811708100) is an individual psychiatric/mental health provider in Woodbury, Minnesota, licensed in Minnesota (12493) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811708100
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBUKOLA OLUWASHOLA KUTI
Location Address4265 CORN SILK LNWoodbury, MN 55129-2213
Mailing Address4265 Corn Silk LnWoodbury, MN 55129-2213 · (651) 230-1900
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 15, 2025
Last NPPES UpdateMarch 5, 2025
NPPES CertifiedMarch 4, 2025
✔ NPI 1811708100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MN · 12493✔ Licensed in TX · 1077716
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
4265 CORN SILK LN, Woodbury, MN 55129

Other Names 1

Former Name (1)Bukola Oluwashola Awosanya

Secondary Practice Location 1

Location 1Zeitgeist Expressions Inc, 5282 Medical Dr Suite 605San Antonio, TX 78229 · Phone (210) 447-7373 · Fax (210) 444-2171

Other Identifiers 1

Other1077716TX · Aprn-cnp

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)

Bukola Oluwashola Kuti is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012431299
PECOS Enrollment IDI20251117001333
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 Bukola Kuti reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
4265 CORN SILK LN
Woodbury, MN 55129
  • Reassigned Medicare billing, Minnesota and Texas enrollments
Mental Health
5282 MEDICAL DR STE 605
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 8 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 55129 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
4265 CORN SILK LN
WOODBURY, MN 55129

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 Bukola Kuti's NPI number?

The NPI number for Bukola Kuti is 1811708100. It was assigned to this individual provider in the NPPES registry on January 15, 2025. The provider is also known as Bukola Oluwashola Awosanya.

Where is Bukola Kuti located?

Bukola Kuti practices at 4265 Corn Silk Ln, Woodbury, MN 55129. The listed phone number is (651) 230-1900.

What is Bukola Kuti's specialty?

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

Is Bukola Kuti enrolled in Medicare?

Yes. Bukola Kuti is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bukola Kuti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bukola Kuti reassigns Medicare benefits to 2 organizations: Healing Mind Body And Soul PLLC (Woodbury, MN) and Zeitgeist Expressions Inc (San Antonio, TX). 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 Bukola Kuti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bukola Kuti accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Insurance Company and UnitedHealthcare list Bukola Kuti 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 Bukola Kuti was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.