OLUWASEYI LADIPUPO SOETAN PMHNP - BC
NPI 1932701984
Nurse Practitioner - Psychiatric/Mental Health in North Dinwiddie, VA

Q: What is Oluwaseyi Soetan's NPI number?

The NPI number for Oluwaseyi Soetan is 1932701984. It was assigned to this individual provider in the NPPES registry on November 14, 2020.

Q: What is Oluwaseyi Soetan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Oluwaseyi Soetan was last updated on April 30, 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.

Active since November 14, 2020PECOS EnrolledAccepts Medicare Assignment

26317 WASHINGTON ST, NORTH DINWIDDIE, VA 23803(540) 204-2459 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2024, Nov 14, 2020 (2 updates tracked since 2020).

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About Oluwaseyi Ladipupo Soetan Pmhnp - Bc NPPES

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

OLUWASEYI LADIPUPO SOETAN PMHNP - BC (NPI 1932701984) is an individual psychiatric/mental health provider in North Dinwiddie, Virginia, licensed in Virginia (0024180400) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Petersburg, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1932701984

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameOLUWASEYI LADIPUPO SOETANCredential: PMHNP - BC

Location Address26317 WASHINGTON STNorth Dinwiddie, VA 23803-2727

Mailing Address5706 Gossamer CtMoseley, VA 23120-2339 · (540) 204-2459

Phone(540) 204-2459

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 14, 2020

Last NPPES UpdateApril 30, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2024

✔ NPI 1932701984 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 VA · 0024180400

26317 WASHINGTON ST, North Dinwiddie, VA 23803

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Secondary Practice Location 1

Location 1591 Oakwood CirPetersburg, VA 23805-9339 · Phone (540) 204-2459

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Oluwaseyi Ladipupo Soetan Pmhnp - Bc 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 ID3173939188

PECOS Enrollment IDI20240408000255

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 23803 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 16

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

MRS. IBIRONKE ELIZABETH SOMOYE

Nurse Practitioner (Psychiatric/Mental Health)