OLUSEYI O FASHUSI (PA-C) – Physician Assistant, NPI 1407318553

OLUSEYI O FASHUSI (PA-C) is a healthcare provider. based in Saint paul, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 13225 (MN). The NPI Number for OLUSEYI O FASHUSI (PA-C) is 1407318553

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
OLUSEYI O FASHUSI (PA-C)
NPI
1407318553
Phone
(651) 772-1572
Address
2025 SLOAN PL STE 35
Enumeration Date
5 April 2019
Last Update Date
14 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6517589500
Graduation Year
2019 (7 years ago)
PAC ID
7113351099
Group Practice PAC ID
0042109258
Professional Enrollment ID
I20191231001265
Address ID
MN551023828SA1026XWXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,032 PHYSICIAN ASSISTANT in MN

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Provider Addresses for OLUSEYI O FASHUSI (PA-C)

  • 2025 SLOAN PL STE 35

    SAINT PAUL, MN 551172092

    Phone: (651) 772-1572

    Fax: (651) 772-1889

    Type: Mailing

  • 1026 7TH ST W

    SAINT PAUL, MN 551023828

    Phone: (651) 758-9800

    Type: Mailing

  • City Centre Drive, Woodbury, Washington County, Minnesota, 55125, United States

    WOODBURY, MN 551253323

    Phone: (651) 731-0859

    Fax: (651) 731-0976

    Type: Location

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: 2019-12-31

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
I20191231001265IPhysician AssistantMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes215121$0
36415Insertion of needle into vein for collection of blood sample202111$0
99213Established patient office or other outpatient visit, 20-29 minutes6856$0
83036Hemoglobin a1c level6238$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5353$0
View full utilization report →

Insurance plans in this area (ZIP 55117)

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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: 0042109258View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)MN
Physician AssistantMN
Nurse PractitionerMN
Nurse PractitionerMN
-MN
Certified Nurse Midwife (Cnm)MN
Family PracticeMN
Clinical PsychologistMN
Physician AssistantMN
Cardiovascular Disease (Cardiology)MN

Reviews

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Frequently asked questions

Is there an official ID for OLUSEYI O FASHUSI (PA-C) in U.S. healthcare records?
The official identifier for OLUSEYI O FASHUSI (PA-C) is NPI 1407318553.
Would OLUSEYI O FASHUSI (PA-C) appear as active to a payer?
You can treat OLUSEYI O FASHUSI (PA-C) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to OLUSEYI O FASHUSI (PA-C)?
OLUSEYI O FASHUSI (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is OLUSEYI O FASHUSI (PA-C) associated with Saint Paul?
Public fields place OLUSEYI O FASHUSI (PA-C) around Saint Paul, Minnesota. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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