BAMIDELE GANIYU – Psychiatric/Mental Health Nurse Practitioner, NPI 1073155933

BAMIDELE GANIYU is a healthcare provider. based in Creve coeur, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 2020002143 (MO). The NPI Number for BAMIDELE GANIYU is 1073155933

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
BAMIDELE GANIYU
NPI
1073155933
Phone
(314) 251-6766
Address
615 S NEW BALLAS RD
Enumeration Date
11 October 2019
Last Update Date
19 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6362374200
Graduation Year
2019 (7 years ago)
PAC ID
1153759394
Group Practice PAC ID
6901188572
Professional Enrollment ID
I20200320002762
Address ID
MO630172004CH15740RDXX500
Telehealth
Yes

Contacts

Main Contact
https://baggotstreet.mercy.net/mylinks/common/mercywide
Secure Messaging
Banidele.Ganiyu@BHM.gehrimeddirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:6State licenses:2Other namesUpdated within 12 months

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for BAMIDELE GANIYU

  • Saint Johns Mercy Medical Center, 615, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States

    CREVE COEUR, MO 631418221

    Phone: (314) 251-6766

    Type: Location

  • 2101 CORONA RD STE 102

    COLUMBIA, MO 652032582

    Phone: (573) 234-1800

    Fax: (573) 234-1799

    Type: Location

  • 616, Derek Drive, Stone Meadows, Wentzville, Saint Charles County, Missouri, 63385, United States

    WENTZVILLE, MO 633856841

    Phone: (314) 960-4106

    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: 2025-06-11

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
I20200320002762INurse PractitionerMOTBD
I20250611001138INurse PractitionerKSTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,479334$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes787190$0
90792Psychiatric diagnostic evaluation with medical services204203$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 63141)

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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: 6901188572View full group profile
NameSpecialtyState
Hospitalist, Internal Medicine, Internal MedicineIL
Emergency MedicineMO
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Nurse PractitionerMO
Physician AssistantMO
N E U R O L O G YAR
Internal MedicineMO
Internal MedicineNY

Reviews

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Frequently asked questions

Can I use this page to confirm BAMIDELE GANIYU's NPI?
Yes. BAMIDELE GANIYU is listed with NPI 1073155933 in the public NPI dataset.
Does the file indicate BAMIDELE GANIYU is practicing under active NPI?
Directory data currently reports BAMIDELE GANIYU as active.
What taxonomy line describes BAMIDELE GANIYU?
For research purposes, treat BAMIDELE GANIYU as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is BAMIDELE GANIYU based?
BAMIDELE GANIYU is tied to Creve Coeur, Missouri in the data we show; additional addresses may exist on the full record.
Is the information about BAMIDELE GANIYU up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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