OLORUNTOBI O AGBELUSI (CRNP) – Family Nurse Practitioner, NPI 1487888368
Family 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 OLORUNTOBI O AGBELUSI (CRNP)
767, Hemmingway Court, Heritage, Tracy, San Joaquin County, California, 95376, United States
TRACY, CA 953768700
Phone: (646) 387-7440
Type: Mailing
1036 SAINT NICHOLAS DR
WALDORF, MD 206034757
Phone: (240) 261-7170
Type: Mailing
7501 GREENWAY CENTER DR
GREENBELT, MD 207703514
Phone: (646) 387-7440
Type: Location
2578 SKEETER CT
WALDORF, MD 20603
Phone: (646) 387-7440
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $86.
Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.
Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Novo Nordisk Inc ($57).
Total Amount
$86
General + Research + Ownership
Payments
4
Total payment records
General Amount
$86
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $57 |
| Lilly USA, LLC | $29 |
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: 2022-07-07
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 |
|---|---|---|---|---|
| I20220707000679 | I | Nurse Practitioner | MD | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 200 | 40 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 122 | 38 | $0 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 91 | 27 | $0 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 84 | 22 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 46 | 22 | $0 |
Insurance plans in this area (ZIP 95376)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | NY | |
| Family Practice | MD | |
| - | MD | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| Hematology/Oncology, Internal Medicine | MD | |
| - | MD | |
| Nurse Practitioner | MD | |
| Registered Dietitian Or Nutrition Professional | MD | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MD | |
| Family Practice | MD |
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