MR. AKINOLA MOBOLAJI (MSN, APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083022594
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,556 NURSE PRACTITIONER in PA
Provider Addresses for MR. AKINOLA MOBOLAJI (MSN, APRN, PMHNP-BC)
220 N FRONT ST
STE 301
PHILIPSBURG, PA 168661676
Phone: (800) 370-3651
Fax: (860) 510-0020
Type: Location
117 N FRONT ST
APT A
PHILIPSBURG, PA 168661603
Phone: (203) 606-3335
Fax: (814) 474-6424
Type: Mailing
189 STORRS RD
MANSFIELD CENTER, CT 062501683
Phone: (860) 456-1311
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: 2025-05-15
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20141126001556 | I | Nurse Practitioner | CT | TBD |
| I20170712000247 | I | Nurse Practitioner | PA | TBD |
| I20250512000277 | I | Nurse Practitioner | NY | TBD |
| I20250515002713 | I | Nurse Practitioner | AZ | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 16866)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | KY | |
| Clinical Social Worker | CT | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Clinical Social Worker | CT | |
| Clinical Social Worker | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Clinical Social Worker | CT |
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