OLAMIPO ODEBODE (DNP PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1770066623

OLAMIPO ODEBODE (DNP PMHNP-BC) is a healthcare provider. based in Fort carson, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP PMHNP-BC. They hold a License No. R217298 (MD). The NPI Number for OLAMIPO ODEBODE (DNP PMHNP-BC) is 1770066623

Main info

Female
6 Years Of Experience
Name
OLAMIPO ODEBODE (DNP PMHNP-BC)
NPI
1770066623
Phone
Not provided
Address
1650 COCHRANE CIR UNIT MEDDAC
Enumeration Date
6 September 2018
Last Update Date
31 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4437312971
Graduation Year
2020 (6 years ago)
PAC ID
9234482407
Group Practice PAC ID
6709964398
Professional Enrollment ID
I20211118000456
Address ID
MD219181352CO49XXXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:7State licenses:2Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for OLAMIPO ODEBODE (DNP PMHNP-BC)

  • 1650 COCHRANE CIR UNIT MEDDAC

    FORT CARSON, CO 809134604

    Phone:

    Type: Mailing

  • 1650 COCHRANE CIR

    FORT CARSON, CO 809134613

    Phone: (719) 526-7000

    Type: Location

  • 6655 Santa Barbara Rd

    Elkridge, MD 210757500

    Phone: (866) 968-6342

    Type: Location

  • 49 ROCK SPRINGS RD

    CONOWINGO, MD 219181352

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 83 Open Payments records for all available years, with a total value of $1,784.

Total Amount is formed as General ($1,784) + Research ($0) + Ownership ($0) = $1,784.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: ABBVIE INC. ($345).

Total Amount

$1,784

General + Research + Ownership

Payments

83

Total payment records

General Amount

$1,784

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181106000276INurse PractitionerMDTBD
I20211118000456INurse PractitionerCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80913)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709964398View full group profile
NameSpecialtyState
Nurse PractitionerMD
Clinical Social WorkerMD
O P T O M E T R YPA
Nurse PractitionerMD
Nurse PractitionerMD
Family PracticeMD
-MD
Clinical Social WorkerMD
Nurse PractitionerMD
Clinical Social WorkerCT

Reviews

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Frequently asked questions

What unique ID ties claims to OLAMIPO ODEBODE (DNP PMHNP-BC)?
NPI 1770066623 is assigned to OLAMIPO ODEBODE (DNP PMHNP-BC) under the national enumeration system.
Is OLAMIPO ODEBODE (DNP PMHNP-BC)'s NPI currently valid?
The extract we use shows OLAMIPO ODEBODE (DNP PMHNP-BC) as active.
Does OLAMIPO ODEBODE (DNP PMHNP-BC) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for OLAMIPO ODEBODE (DNP PMHNP-BC). Clinical services aligned with this taxonomy classification.
What location metadata exists for OLAMIPO ODEBODE (DNP PMHNP-BC)?
The page summarizes Fort Carson, Colorado for OLAMIPO ODEBODE (DNP PMHNP-BC); expand the address list for detail.
How can I contact OLAMIPO ODEBODE (DNP PMHNP-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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