Individual provider Active NPI

Olakunle Sunday Fasan

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1386510956
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1215332 Issued in TX
Practice address
5900 Balcones Dr Ste 8370
Austin, TX 78731-4257
Phone
(713) 260-2100
Fax
(804) 207-8849
NPI assigned
Oct 13, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1215332 TX Primary

Addresses

Primary practice location

5900 Balcones Dr Ste 8370
Austin, TX 78731-4257

Mailing address

29142 Hauter Way
Fulshear, TX 77441-2317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251212003430 TX Practitioner - Nurse Practitioner 5890289128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellamora Holistic Therapeutic Solutions LLCGroup PAC ID 9234547951, 2 clinicians

Practice addresses (Care Compare)

5900 Balcones Dr
Austin, TX 78731-4257
Phone (713) 260-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1215332TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peajoyvic Mindworks Psychiatric/Mental Health CurrentSince May 6, 2026 Accepting new patients
Bellamora Holistic Therapeutic Solutions LLC Psychiatric/Mental Health CurrentSince Nov 1, 2025 Accepting new patients
Appreciate Care Inc CurrentSince Oct 21, 2025 Accepting new patients

Locations

5900 Balcones Dr
Ste 8370
Austin, TX 78731
Phone (713) 260-2100

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1386510956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29142 HAUTER WAY",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774412317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 8370",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "713-260-2100",
            "fax_number": "804-207-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASAN",
        "first_name": "OLAKUNLE",
        "middle_name": "SUNDAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1215332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.