OLANIKE OLAMIDE AYEDUN – Psychiatric/Mental Health Nurse Practitioner, NPI 1558118414

OLANIKE OLAMIDE AYEDUN is a healthcare provider. based in Mansfield, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1155291 (TX). The NPI Number for OLANIKE OLAMIDE AYEDUN is 1558118414

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
OLANIKE OLAMIDE AYEDUN
NPI
1558118414
Phone
(214) 994-7506
Address
3161 KINGSWOOD CT
Enumeration Date
30 April 2024
Last Update Date
30 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5805962800
Graduation Year
2023 (3 years ago)
PAC ID
0941721690
Group Practice PAC ID
9133201171
Professional Enrollment ID
I20250311000211
Address ID
OK737016455EN231XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for OLANIKE OLAMIDE AYEDUN

  • 3161 KINGSWOOD CT

    MANSFIELD, TX 760637545

    Phone: (214) 994-7506

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-05-28 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($25).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-28

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: 2025-03-11

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
I20250311000211INurse PractitionerOKTBD

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 76063)

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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: 9133201171View full group profile
NameSpecialtyState
Mental Health CounselorOK
Physician AssistantUT
Osteopathic Manipulative Medicine, Family PracticeOK
Family PracticeOK
Physician AssistantOK
Mental Health CounselorOK
Physician AssistantKS
Mental Health CounselorOK
-FL
Family Practice, Emergency MedicineOK

Reviews

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Frequently asked questions

Can I verify OLANIKE OLAMIDE AYEDUN with an NPI only?
You can start verification with NPI 1558118414 for OLANIKE OLAMIDE AYEDUN, then check state licensing separately.
Is OLANIKE OLAMIDE AYEDUN listed as active for patients and plans?
The listing shows OLANIKE OLAMIDE AYEDUN as active in the NPI system.
What is OLANIKE OLAMIDE AYEDUN's specialty?
The listing groups OLANIKE OLAMIDE AYEDUN with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does OLANIKE OLAMIDE AYEDUN serve?
OLANIKE OLAMIDE AYEDUN's listing highlights Mansfield, Texas; more addresses can appear in NPPES.
Why does OLANIKE OLAMIDE AYEDUN have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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