OLABODE MOSES OLUGA (CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1942946207

OLABODE MOSES OLUGA (CNP) is a healthcare provider. based in Memphis, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 209024960 (IL). The NPI Number for OLABODE MOSES OLUGA (CNP) is 1942946207

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
OLABODE MOSES OLUGA (CNP)
NPI
1942946207
Phone
(901) 436-1381
Address
50 S B B KING BLVD
Enumeration Date
10 May 2022
Last Update Date
7 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8479868978
Graduation Year
2021 (5 years ago)
PAC ID
4789032145
Professional Enrollment ID
I20231122002473
Address ID
IL602013860EV1603XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for OLABODE MOSES OLUGA (CNP)

  • 50 S B B KING BLVD

    MEMPHIS, TN 381032626

    Phone: (901) 436-1381

    Type: Mailing

  • 1 WESTBROOK CORPORATE CTR STE 300

    WESTCHESTER, IL 601545709

    Phone: (847) 929-4766

    Type: Location

  • 820 DAVIS ST STE 504E

    EVANSTON, IL 602014448

    Phone: (847) 986-8978

    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: 2023-11-22

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
I20231122002473INurse PractitionerILTBD

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 38103)

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Reviews

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Frequently asked questions

What is the registry number for OLABODE MOSES OLUGA (CNP)?
The registry entry for OLABODE MOSES OLUGA (CNP) shows NPI 1942946207.
Is OLABODE MOSES OLUGA (CNP)'s NPI status active today?
Active status means OLABODE MOSES OLUGA (CNP)'s NPI record is not deactivated in the public file.
Which specialty label fits OLABODE MOSES OLUGA (CNP)?
NPPES ties OLABODE MOSES OLUGA (CNP) to Psychiatric/Mental Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is OLABODE MOSES OLUGA (CNP) tied to Memphis, Tennessee?
If you are local to Memphis, Tennessee, OLABODE MOSES OLUGA (CNP) may be relevant to your search.
Who maintains OLABODE MOSES OLUGA (CNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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