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EMMANUEL OLUWADARE
NPI 1902698277
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since May 21, 2025PECOS EnrolledAccepts Medicare Assignment
15640 N 7TH ST STE A1, PHOENIX, AZ 85022(602) 858-0191 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emmanuel Oluwadare NPPES

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

EMMANUEL OLUWADARE (NPI 1902698277) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (APRN-RNP257887) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1902698277
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameEMMANUEL OLUWADARE
Location Address15640 N 7TH ST STE A1Phoenix, AZ 85022-3520
Mailing Address5235 E Southern Ave Ste 106-145Mesa, AZ 85206-3626 · (480) 501-0511
Phone(602) 858-0191
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 21, 2025
NPPES CertifiedMay 21, 2025
✔ NPI 1902698277 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 AZ · APRN-RNP257887
15640 N 7TH ST STE A1, Phoenix, AZ 85022
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., UnitedHealthcare.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

Emmanuel Oluwadare 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 ID1153824768
PECOS Enrollment IDI20250910003823
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 85022 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 2

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

KING IYOBOSA WILLIAM
Psychologist (Addiction (Substance Use Disorder))
15640 N 7TH ST STE A1
PHOENIX, AZ 85022
Maricopa County (602) 675-0864
AZ COMPASSIONATE CARE BEHAVIORAL & WELLNESS CLINIC LLC
Community/Behavioral Health
15640 N 7TH ST STE A1
PHOENIX, AZ 85022
Maricopa County (602) 858-0191

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 Emmanuel Oluwadare's NPI number?

The NPI number for Emmanuel Oluwadare is 1902698277. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Where is Emmanuel Oluwadare located?

Emmanuel Oluwadare practices at 15640 N 7th St Ste A1, Phoenix, AZ 85022. The listed phone number is (602) 858-0191.

What is Emmanuel Oluwadare's specialty?

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

Is Emmanuel Oluwadare enrolled in Medicare?

Yes. Emmanuel Oluwadare 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 Emmanuel Oluwadare accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Emmanuel Oluwadare 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 Emmanuel Oluwadare was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.