DR. OLUKEMI A KUKU (DNP, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1114417854
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
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Provider Addresses for DR. OLUKEMI A KUKU (DNP, PMHNP)
PO BOX 1776
VACAVILLE, CA 956961776
Phone:
Type: Mailing
Empire Street, Fairfield, Solano County, California, 94533, United States
FAIRFIELD, CA 94533
Phone: (707) 439-7830
Type: Location
1261 Travis Blvd Ste 375
Fairfield, CA 945334811
Phone: (707) 673-2515
Type: Location
2101 Courage Dr
Fairfield, CA 945336717
Phone: (707) 784-2080
Type: Location
4080 PORT CHICAGO HWY
CONCORD, CA 945201121
Phone: (925) 674-4200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-09-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180920001822 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 266 | 121 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 205 | 57 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 76 | 75 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 68 | 48 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 46 | 46 | $0 |
Insurance plans in this area (ZIP 95696)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | CA | |
| - | CA | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | CA | |
| - | CA | |
| P S Y C H I A T R Y | CA |
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