OLUWASEYI LADIPUPO SOETAN (PMHNP - BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1932701984

OLUWASEYI LADIPUPO SOETAN (PMHNP - BC) is a healthcare provider. based in North dinwiddie, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP - BC. They hold a License No. 0024180400 (VA). The NPI Number for OLUWASEYI LADIPUPO SOETAN (PMHNP - BC) is 1932701984

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
OLUWASEYI LADIPUPO SOETAN (PMHNP - BC)
NPI
1932701984
Phone
(804) 524-4504
Address
26317 WASHINGTON ST
Enumeration Date
14 November 2020
Last Update Date
30 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4345425187
Graduation Year
2020 (6 years ago)
PAC ID
3173939188
Group Practice PAC ID
4486649977
Professional Enrollment ID
I20240408000255
Address ID
VA239230340CH410XXHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for OLUWASEYI LADIPUPO SOETAN (PMHNP - BC)

  • 26317 WASHINGTON ST

    NORTH DINWIDDIE, VA 238032727

    Phone: (804) 524-4504

    Type: Mailing

  • 591 Oakwood Cir

    Petersburg, VA 238059339

    Phone: (540) 204-2459

    Type: Location

  • 5706 GOSSAMER CT

    MOSELEY, VA 231202339

    Phone: (540) 204-2459

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $286.

Total Amount is formed as General ($286) + Research ($0) + Ownership ($0) = $286.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($77).

Total Amount

$286

General + Research + Ownership

Payments

13

Total payment records

General Amount

$286

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

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: 2024-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210316002335INurse PractitionerDCTBD
I20240408000255INurse PractitionerVATBD

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 23803)

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: 4486649977View full group profile
NameSpecialtyState
Mental Health CounselorVA
Mental Health CounselorVA
Nurse PractitionerNV
-VA
Mental Health CounselorVA
Mental Health CounselorVA
Mental Health CounselorVA
Nurse PractitionerME
Mental Health CounselorVA
Nurse PractitionerVA

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

Is OLUWASEYI LADIPUPO SOETAN (PMHNP - BC) listed with a National Provider Identifier?
Yes — OLUWASEYI LADIPUPO SOETAN (PMHNP - BC) has NPI 1932701984 on file in the registry.
Active or inactive — what applies to OLUWASEYI LADIPUPO SOETAN (PMHNP - BC)?
You should see OLUWASEYI LADIPUPO SOETAN (PMHNP - BC) as active in CMS-hosted NPPES data.
What clinical focus is listed for OLUWASEYI LADIPUPO SOETAN (PMHNP - BC)?
At a glance, OLUWASEYI LADIPUPO SOETAN (PMHNP - BC) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Virginia is OLUWASEYI LADIPUPO SOETAN (PMHNP - BC) registered?
Use North Dinwiddie, Virginia as the headline location for OLUWASEYI LADIPUPO SOETAN (PMHNP - BC) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

Similar Providers

DR. JEMINA M LIVERMAN (DNP, FNP-C, PMHNP-BC)

Psychiatric/Mental Health Nurse Practitioner
9520 Iron Bridge Rd Unit 33
NPI: 1073889697

MRS. HAMNET SUSANNAH DIXON (NP)

Psychiatric/Mental Health Nurse Practitioner
26317 Washington St
NPI: 1437669710

NATALIE E HALL (PMHNP)

Psychiatric/Mental Health Nurse Practitioner
8720, Lake Jordan Lane, Dinwiddie County, Virginia, 23803, United States
NPI: 1235615337

LAUREN EHREDT (NP)

Psychiatric/Mental Health Nurse Practitioner
26317 WASHINGTON ST
NPI: 1730744970

VICTORIA ISABEL TAMAYO-MCHALE

Psychiatric/Mental Health Nurse Practitioner
2400 E CARY ST APT 411
NPI: 1144864166

SUSAN EMRICK (NP)

Psychiatric/Mental Health Nurse Practitioner
5041 SOUTHMOOR RD
NPI: 1255959979

ALISON STROH (DNP, RN, PMHNP-BC)

Psychiatric/Mental Health Nurse Practitioner
26317 WASHINGTON ST
NPI: 1588277727

RACHEL KUROWSKY (PMHNP)

Psychiatric/Mental Health Nurse Practitioner
26317 WASHINGTON ST
NPI: 1386214625