OLUBUKOLA E SHODIYA – Psychiatric/Mental Health Nurse Practitioner, NPI 1104456961
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
Provider Addresses for OLUBUKOLA E SHODIYA
16514 S SUN MEADOW DR
LOCKPORT, IL 604415078
Phone: (708) 713-1017
Type: Mailing
2921 LANDMARK PL STE 215
MADISON, WI 537134248
Phone: (708) 713-1017
Type: Location
8828 S MOZART AVE
EVERGREEN PK, IL 608051140
Phone: (708) 996-9100
Type: Mailing
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: 2025-02-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200731000303 | I | Nurse Practitioner | IL | TBD |
| I20250226001820 | I | Nurse Practitioner | WI | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 252 | 56 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 157 | 53 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 37 | 37 | $0 |
Insurance plans in this area (ZIP 60441)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Clinical Social Worker | SD | |
| Nurse Practitioner | TX | |
| Clinical Social Worker | IA | |
| Nurse Practitioner | MI | |
| Mental Health Counselor | MI | |
| Nurse Practitioner | TN | |
| - | NE | |
| Nurse Practitioner | SC | |
| - | MD |
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