OLUBOLA OMOLARA SALABIU (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1316677602

OLUBOLA OMOLARA SALABIU (PMHNP) is a healthcare provider. based in Minneapolis, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 2022009090 (MN). The NPI Number for OLUBOLA OMOLARA SALABIU (PMHNP) is 1316677602

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
OLUBOLA OMOLARA SALABIU (PMHNP)
NPI
1316677602
Phone
(612) 703-1504
Address
1380 84TH LN N
Enumeration Date
10 June 2022
Last Update Date
3 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6124659910
Graduation Year
2021 (5 years ago)
PAC ID
4587039417
Group Practice PAC ID
3173047214
Professional Enrollment ID
I20230406002689
Address ID
MN553739407RO8060X55XX401

Contacts

Main Contact
https://mail.google.com/mail/u/2/#inbox
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

Provider Addresses for OLUBOLA OMOLARA SALABIU (PMHNP)

  • 1380 84TH LN N

    MINNEAPOLIS, MN 554441443

    Phone: (612) 703-1504

    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: 2023-04-06

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
I20230406002689INurse PractitionerMNTBD

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 55444)

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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: 3173047214View full group profile
NameSpecialtyState
Mental Health CounselorMN
Nurse PractitionerFL
Nurse PractitionerFL
Mental Health CounselorMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

How do payers reference OLUBOLA OMOLARA SALABIU (PMHNP)?
For OLUBOLA OMOLARA SALABIU (PMHNP), use NPI 1316677602 as the unique 10-digit identifier.
Is OLUBOLA OMOLARA SALABIU (PMHNP) still an active registrant?
OLUBOLA OMOLARA SALABIU (PMHNP) carries an active NPI according to the public dataset.
What expertise is attributed to OLUBOLA OMOLARA SALABIU (PMHNP)?
OLUBOLA OMOLARA SALABIU (PMHNP)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is OLUBOLA OMOLARA SALABIU (PMHNP) associated with Minneapolis?
Public fields place OLUBOLA OMOLARA SALABIU (PMHNP) around Minneapolis, Minnesota. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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