Oluyemisi Olatilu, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

086772-23 Issued in NH

Practice address

7 Pine BLF
Derry, NH 03038-4908

Phone

(617) 866-9877

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Supportive Care of New Hampshire LLCGroup PAC ID 9133506272, 17 clinicians

Luk Crisis Center IncGroup PAC ID 2264476993, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/luk/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/ICEHCD/Endpoint/ICEHCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Supportive Care of New Hampshire LLC

  • Clinical Psychologist
  • Derry, NH
  • NPI 1013657618
  Medicare reassignment Care Compare group NPD
• Luk Crisis Center Inc.

  • Community/Behavioral Health Agency
  • Fitchburg, MA
  • NPI 1306962741
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1073374625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PINE BLF",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030384908",
            "telephone_number": "617-866-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PINE BLF",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030384908",
            "telephone_number": "617-866-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLATILU",
        "first_name": "OLUYEMISI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "086772-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie A O'Connell, NP
• Ashley O'Donnell
• Megan O'Toole Choate
• Oasis Psychiatric Health and Wellness PLLC
• Valerie Ann Obrien
• Sabina Khalid Omar, DO
• Banu Oner, M.D.
• Chiedozie Onwuka, PHARMD
• Jacquelyn R Orent-Nathan, NP
• Victoria Lynne Overko, MS, RDN, LDN

• Psychiatric/Mental Health Nurse Practitioner in Derry, NH
• Providers in Derry, NH by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.