SIMILOLUWA OLUTOMIWA OLUSHOLA – Psychiatric/Mental Health Nurse Practitioner, NPI 1184499873

SIMILOLUWA OLUTOMIWA OLUSHOLA is a healthcare provider. based in Mesquite, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1099886 (TX). The NPI Number for SIMILOLUWA OLUTOMIWA OLUSHOLA is 1184499873

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SIMILOLUWA OLUTOMIWA OLUSHOLA
NPI
1184499873
Phone
(817) 323-8792
Address
6344 SUDBURY LN
Enumeration Date
22 November 2023
Last Update Date
24 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5127772591
Graduation Year
2021 (5 years ago)
PAC ID
4587199047
Group Practice PAC ID
9537578810
Professional Enrollment ID
I20241121001624
Address ID
TX78746XXXXAUXXXXXXXXXX00
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for SIMILOLUWA OLUTOMIWA OLUSHOLA

  • 6344 SUDBURY LN

    MESQUITE, TX 751810009

    Phone: (817) 323-8792

    Type: Mailing

  • 4825 ALLIANCE BLVD STE 150

    PLANO, TX 750935577

    Phone: (844) 824-8775

    Fax: (281) 648-2200

    Type: Location

  • 4825 Alliance Blvd Ste 150

    Plano, TX 750935577

    Phone: (844) 824-8775

    Fax: (281) 648-2200

    Type: Location

  • 411 N Washington Ave Ste 5200

    Dallas, TX 752461778

    Phone: (855) 204-2502

    Fax: (817) 783-4672

    Type: Location

  • 18707 Hardy Oak Blvd Ste 105

    San Antonio, TX 782584792

    Phone: (855) 204-2502

    Fax: (817) 783-4672

    Type: Location

  • 415 E Airport Fwy

    Irving, TX 750626351

    Phone: (972) 827-7169

    Type: Location

  • 2800 E HIGHWAY 114 STE 350

    TROPHY CLUB, TX 762625309

    Phone: (855) 204-2502

    Fax: (817) 783-4672

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($98).

Total Amount

$116

General + Research + Ownership

Payments

5

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-11-21

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
I20241121001624INurse PractitionerTXTBD

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 75181)

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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: 9537578810View full group profile
NameSpecialtyState
P S Y C H I A T R YTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
P S Y C H I A T R YTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for SIMILOLUWA OLUTOMIWA OLUSHOLA?
SIMILOLUWA OLUTOMIWA OLUSHOLA — NPI 1184499873 — is the standard way to identify this listing.
Does the file indicate SIMILOLUWA OLUTOMIWA OLUSHOLA is practicing under active NPI?
Directory data currently reports SIMILOLUWA OLUTOMIWA OLUSHOLA as active.
What is SIMILOLUWA OLUTOMIWA OLUSHOLA's specialty?
The listing groups SIMILOLUWA OLUTOMIWA OLUSHOLA with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is SIMILOLUWA OLUTOMIWA OLUSHOLA based?
SIMILOLUWA OLUTOMIWA OLUSHOLA is tied to Mesquite, Texas in the data we show; additional addresses may exist on the full record.
Why does SIMILOLUWA OLUTOMIWA OLUSHOLA have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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