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DR. FAUSAT FUNMILOLA ODUBIYI NURSE PRACTITIONER
NPI 1881174654
Nurse Practitioner - Psychiatric/Mental Health in Moorestown, NJ

Active since August 21, 2018PECOS EnrolledAccepts Medicare Assignment
1221 N CHURCH ST STE 103-E, MOORESTOWN, NJ 08057(609) 471-3560(833) 520-1488 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2024, Nov 22, 2023, Nov 15, 2023 and 3 more (6 updates tracked since 2018).

About Dr. Fausat Funmilola Odubiyi Nurse Practitioner NPPES

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

DR. FAUSAT FUNMILOLA ODUBIYI NURSE PRACTITIONER (NPI 1881174654) is an individual psychiatric/mental health provider in Moorestown, New Jersey, licensed in New York (402510) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1881174654
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. FAUSAT FUNMILOLA ODUBIYICredential: NURSE PRACTITIONER
Location Address1221 N CHURCH ST STE 103-EMoorestown, NJ 08057-1245
Mailing Address1221 N Church St Ste 103-eMoorestown, NJ 08057-1245 · (609) 471-3560 · Fax (833) 520-1488
Phone(609) 471-3560
Fax(833) 520-1488
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 21, 2018
Last NPPES UpdateSeptember 23, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1881174654 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
Licenses✔ Licensed in NY · 402510✔ Licensed in NJ · 26NR22474600
1221 N CHURCH ST STE 103-E, Moorestown, NJ 08057
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Other Names 1

Former Name (1)Dr. Fausat Funmilola Fatokun Np

Secondary Practice Locations 2

Location 1513 High StBurlington City, NJ 08016-4503 · Phone (609) 386-0650 · Fax (609) 386-0652
Location 2650 Fulton StBrooklyn, NY 11217-1517 · Phone (718) 596-9800 · Fax (718) 855-5628

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Fausat Funmilola Odubiyi Nurse Practitioner 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 ID749603496
PECOS Enrollment IDI20200714000674, I20220512000298
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

8

Medicare enrollment records show Fausat Odubiyi reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Able Healthcare Nurse Practitioner In Psychiatry PLLC
0.3 mi
Psychiatric/Mental Health
1221 N CHURCH ST STE 103-E
Moorestown, NJ 08057
  • Reassigned Medicare billing, New Jersey and New York enrollments
  • 4 clinicians in this Medicare group
NPI 1902508385 (609) 471-3560
Center For Family Guidance, PC
5.5 mi
Geriatric Psychiatry
765 EAST ROUTE 70, BUILDING A
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 219 clinicians in this Medicare group
NPI 1508803388 (856) 983-3900
Stable Community Services
9.4 mi
Community/Behavioral Health
513 HIGH ST
Burlington City, NJ 08016
  • Reassigned Medicare billing, New Jersey enrollment
  • 10 clinicians in this Medicare group
NPI 1568885663 (609) 386-0650
Prospect Health Access Network, Inc.
17 mi
Obstetrics & Gynecology
2100 KEYSTONE AVE, SUITE 707
Drexel Hill, PA 19026
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 654 clinicians in this Medicare group
NPI 1255786729 (610) 626-7070
Acenda, Inc.
20 mi
Mental Health
42 DELSEA DR S
Glassboro, NJ 08028
  • Reassigned Medicare billing, New Jersey enrollment
  • 52 clinicians in this Medicare group
NPI 1982752333 (844) 422-3632
Brooklyn Plaza Medical Center, Inc
72 mi
Federally Qualified Health Center (FQHC)
1089 PRESIDENT ST
Brooklyn, NY 11225
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Whitman Ingersoll Farragut Health Center
  • 15 clinicians in this Medicare group
NPI 1336113398 (718) 596-9896
Grow Healthcare Group Of New Jersey PC
73 mi
Mental Health
221 RIVER ST. FL 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 673 clinicians in this Medicare group
NPI 1841949328 (201) 439-8902
Grow Healthcare Group PA
1,024 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 5

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
153 services18 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.
141 services40 patients
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.
55 services14 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
17 services17 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08057 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

ABLE HEALTHCARE NURSE PRACTITIONER IN PSYCHIATRY PLLC
Nurse Practitioner (Psychiatric/Mental Health)
1221 N CHURCH ST STE 103-E
MOORESTOWN, NJ 08057
Burlington County (609) 471-3560

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 Fausat Odubiyi's NPI number?

The NPI number for Fausat Odubiyi is 1881174654. It was assigned to this individual provider in the NPPES registry on August 21, 2018. The provider is also known as Dr. Fausat Funmilola Fatokun Np.

Where is Fausat Odubiyi located?

Fausat Odubiyi practices at 1221 N Church St Ste 103-E, Moorestown, NJ 08057. The listed phone number is (609) 471-3560.

What is Fausat Odubiyi's specialty?

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

Is Fausat Odubiyi enrolled in Medicare?

Yes. Fausat Odubiyi 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.

Which organizations bill Medicare for Fausat Odubiyi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fausat Odubiyi reassigns Medicare benefits to 8 organizations: Able Healthcare Nurse Practitioner In Psychiatry PLLC (Moorestown, NJ), Center For Family Guidance, PC (Marlton, NJ), Stable Community Services (Burlington City, NJ), Prospect Health Access Network, Inc. (Drexel Hill, PA), Acenda, Inc. (Glassboro, NJ) and 3 more organizations, listed in the Medicare section above. 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 Fausat Odubiyi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fausat Odubiyi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Fausat Odubiyi 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 Fausat Odubiyi was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.