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ABIMBOLA OLUYEMISI OLUSANYA DNP, FNP, PMHNP-BC
NPI 1811958127
Nurse Practitioner in Elk Grove, CA

Active since March 28, 2006PECOS Enrolled
9381 E STOCKTON BLVD STE 204, ELK GROVE, CA 95624(855) 501-1004 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Abimbola Oluyemisi Olusanya Dnp, Fnp, Pmhnp-bc NPPES

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

ABIMBOLA OLUYEMISI OLUSANYA DNP, FNP, PMHNP-BC (NPI 1811958127) is an individual nurse practitioner in Elk Grove, California, licensed in California (14059) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1811958127
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameABIMBOLA OLUYEMISI OLUSANYACredential: DNP, FNP, PMHNP-BC
Location Address9381 E STOCKTON BLVD STE 204Elk Grove, CA 95624-5070
Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954 · (916) 576-7900
Phone(855) 501-1004
Sole ProprietorNo
Enumeration DateMarch 28, 2006
Last NPPES UpdateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1811958127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 14059
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 14059 (CA)
9381 E STOCKTON BLVD STE 204, Elk Grove, CA 95624
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Secondary Practice Location 1

Location 14501 X St, Suite 3010Sacramento, CA 95817-2229 · Phone (916) 734-7502

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abimbola Oluyemisi Olusanya Dnp, Fnp, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Abimbola Olusanya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Of The Univ Of Ca
9.7 mi
Clinical Child & Adolescent
2825 50TH ST
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
NPI 1447423959 (916) 703-0315

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services60 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95624 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 5

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

GENE KOU XIONG DC
Chiropractor
9381 E STOCKTON BLVD STE 204
ELK GROVE, CA 95624
Sacramento County (916) 639-6059
VISHAL PATEL M.D.
Psychiatry & Neurology (Psychiatry)
9381 E STOCKTON BLVD STE 204
ELK GROVE, CA 95624
Sacramento County (855) 501-1004
XIONG CHIROPRACTIC P.C.
Chiropractor
9381 E STOCKTON BLVD STE 204
ELK GROVE, CA 95624
Sacramento County (916) 639-6059
MRS. CHANAE JOI HAYLOCK PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
9381 E STOCKTON BLVD STE 204
ELK GROVE, CA 95624
Sacramento County (855) 501-1004
TARIQ HUSSAIN
Home Health Aide
9381 E STOCKTON BLVD STE 204
ELK GROVE, CA 95624
Sacramento County (209) 663-2304

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 Abimbola Olusanya's NPI number?

The NPI number for Abimbola Olusanya is 1811958127. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Abimbola Olusanya located?

Abimbola Olusanya practices at 9381 E Stockton Blvd Ste 204, Elk Grove, CA 95624. The listed phone number is (855) 501-1004.

What is Abimbola Olusanya's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Abimbola Olusanya enrolled in Medicare?

Yes. Abimbola Olusanya is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Abimbola Olusanya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abimbola Olusanya reassigns Medicare benefits to Regents Of The Univ Of Ca (Sacramento, CA). The 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 Abimbola Olusanya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Abimbola Olusanya was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.