MODUPEOLA FALUBI (PMHNP) – Psychiatric/Mental Health Registered Nurse, NPI 1689290017
Psychiatric/Mental Health Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MODUPEOLA FALUBI (PMHNP)
12401 Olive Blvd Ste 206
Creve Coeur, MO 631415448
Phone: (888) 410-5230
Type: Location
11695 S Blackbob Rd
Olathe, KS 660621058
Phone: (888) 410-5230
Type: Location
5741 N BEAMAN AVE
KANSAS CITY, MO 641513293
Phone: (816) 456-2557
Type: Location
3600 Interstate 70 Dr SE Ste C
Columbia, MO 652016583
Phone: (888) 410-5230
Type: Location
4429 S River Blvd Ste D
Independence, MO 640554659
Phone: (888) 410-5230
Type: Location
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: 2021-11-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211122002482 | I | Nurse Practitioner | KS | 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 63141)
Loading plans...
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.