FADEKEMI SULIAT OLUDE (APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1639766199
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,993 NURSE PRACTITIONER in NY
Provider Addresses for FADEKEMI SULIAT OLUDE (APRN, PMHNP-BC)
3449 AVA DR
MIDLOTHIAN, TX 760652274
Phone: (713) 291-8625
Type: Mailing
444 E BOSTON POST RD
MAMARONECK, NY 105433708
Phone: (713) 291-8625
Type: Location
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 $212.
Total Amount is formed as General ($212) + Research ($0) + Ownership ($0) = $212.
Last reported payment date: 2024-03-21 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($113).
Total Amount
$212
General + Research + Ownership
Payments
2
Total payment records
General Amount
$212
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $113 |
| Janssen Pharmaceuticals, Inc | $100 |
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: 2026-02-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20210506003082 | I | Nurse Practitioner | NY | TBD |
| I20211028001824 | I | Nurse Practitioner | TX | TBD |
| I20241120002204 | I | Nurse Practitioner | CO | TBD |
| I20251031002700 | I | Nurse Practitioner | NM | TBD |
| I20251204004055 | I | Nurse Practitioner | OR | TBD |
| I20260209001996 | I | Nurse Practitioner | MN | 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 76065)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | NY | |
| Clinical Social Worker | NY | |
| Nurse Practitioner | MA | |
| Mental Health Counselor | NY | |
| Mental Health Counselor | NY | |
| Mental Health Counselor | NY | |
| Mental Health Counselor | NY | |
| Clinical Social Worker | NY | |
| Clinical Social Worker | NY | |
| Clinical Social Worker | NY |
Reviews
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