TEMITOPE OLADOKUN OLAGBAIYE (NP) – Family Nurse Practitioner, NPI 1043561277
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for TEMITOPE OLADOKUN OLAGBAIYE (NP)
5131 QUINCE RD
MEMPHIS, TN 381176846
Phone: (901) 701-1888
Fax: (901) 701-1136
Type: Location
21646 PHOENIX DR
APT/SUITE
MACOMB, MI 480446408
Phone:
Type: Mailing
3956 MOUNT ELLIOTT ST
DETROIT, MI 482071841
Phone: (313) 925-4540
Type: Location
1395 NW 167TH ST
MIAMI GARDENS, FL 331695710
Phone: (586) 649-3388
Type: Mailing
21811 KELLY RD
EASTPOINTE, MI 480212793
Phone: (586) 649-3388
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $115.
Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.
Last reported payment date: 2023-03-09 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($115).
Total Amount
$115
General + Research + Ownership
Payments
1
Total payment records
General Amount
$115
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| IDORSIA PHARMACEUTICALS US INC | $115 |
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: 2023-05-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130408000198 | I | Nurse Practitioner | MI | TBD |
| I20230509003165 | I | Nurse Practitioner | TN | 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 38117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Family Practice | NY | |
| Nurse Practitioner | TN |
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