OLASUNKANMI OGEDEGBE – Family Nurse Practitioner, NPI 1205372067

OLASUNKANMI OGEDEGBE is a healthcare provider. based in Skokie, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209015463 (IL). The NPI Number for OLASUNKANMI OGEDEGBE is 1205372067

Main info

Female
Sole Proprietor
10 Years Of Experience
Name
OLASUNKANMI OGEDEGBE
NPI
1205372067
Phone
Not provided
Address
4711 GOLF RD
Enumeration Date
17 January 2017
Last Update Date
10 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8333796863
Graduation Year
2016 (10 years ago)
PAC ID
4284910704
Group Practice PAC ID
1759699176
Professional Enrollment ID
I20170418002541
Address ID
IL600143434CR471XXAVEX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

Provider Addresses for OLASUNKANMI OGEDEGBE

  • 4711 GOLF RD

    SUITE1250

    SKOKIE, IL 600761224

    Phone:

    Mailing address matches the actual address.

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: 2017-04-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170418002541INurse PractitionerILTBD

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 60076)

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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: 1759699176View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerKY
Nurse PractitionerCA
Nurse PractitionerNJ
Nurse PractitionerCA
Nurse PractitionerMI
Nurse PractitionerWY
Physician AssistantNV
Nurse PractitionerCA
Physician AssistantCA

Reviews

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Frequently asked questions

What is the standard ID for OLASUNKANMI OGEDEGBE in the U.S.?
In the U.S., OLASUNKANMI OGEDEGBE is identified by NPI 1205372067.
Is OLASUNKANMI OGEDEGBE currently accepting referrals based on NPI status?
Registry metadata lists OLASUNKANMI OGEDEGBE as active.
Which specialty label fits OLASUNKANMI OGEDEGBE?
NPPES ties OLASUNKANMI OGEDEGBE to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to OLASUNKANMI OGEDEGBE?
The directory associates OLASUNKANMI OGEDEGBE with Skokie, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains OLASUNKANMI OGEDEGBE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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