OLUSHINA O OLUTOSIN – Gerontology Nurse Practitioner, NPI 1750254942

OLUSHINA O OLUTOSIN is a healthcare provider. based in Plano, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1212476 (TX). The NPI Number for OLUSHINA O OLUTOSIN is 1750254942

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
OLUSHINA O OLUTOSIN
NPI
1750254942
Phone
(972) 777-6656
Address
1645 DORCHESTER DR
Enumeration Date
25 September 2025
Last Update Date
25 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2146130400
Graduation Year
2025 (1 year ago)
PAC ID
6406340900
Group Practice PAC ID
9638609035
Professional Enrollment ID
I20251211002475
Address ID
TX750811889RI801XXRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:0State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for OLUSHINA O OLUTOSIN

  • 1645 DORCHESTER DR

    PLANO, TX 750756443

    Phone: (972) 777-6656

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2025-12-11

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
I20251211002475INurse 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 75075)

Loading plans...

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: 9638609035View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to OLUSHINA O OLUTOSIN?
The federal identifier for OLUSHINA O OLUTOSIN is NPI 1750254942.
Is OLUSHINA O OLUTOSIN active in the national directory?
OLUSHINA O OLUTOSIN's public NPI profile is in an active state.
What does OLUSHINA O OLUTOSIN treat or focus on?
Patients typically see OLUSHINA O OLUTOSIN under the specialty Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place OLUSHINA O OLUTOSIN?
The snapshot lists Plano, Texas for OLUSHINA O OLUTOSIN; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

BADIA ISLAH HARLIN (NP C)

Family Nurse Practitioner
Oakbend Trail, Fort Worth, Tarrant County, Texas, 76132, United States
NPI: 1700804499
850, Central Parkway East, Plano, Collin County, Texas, 75074, United States
NPI: 1306942263

Unknown Individual

Gerontology Nurse Practitioner
4708 ALLIANCE BLVD
NPI: 1114145166
7150 BIRCH MEWS
NPI: 1174738678

ERIN ELIZABETH FREDERICK (AGNP)

Gerontology Nurse Practitioner
3801 W 15TH ST STE 320
NPI: 1710266705

WENDY Y WANG (NP)

Gerontology Nurse Practitioner
4708 ALLIANCE BLVD STE 550
NPI: 1811320237

ERIKA DINIZ BORKAR (AGPCNP)

Adult Health Nurse Practitioner
4708 ALLIANCE BLVD STE 550
NPI: 1730506445

MRS. HONG XIANG (NP)

Family Nurse Practitioner
1023 NORTHWEST HWY
NPI: 1396154431