Individual provider Active NPI

Busayo Bose Obigbesan, MBR

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1497116545
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0995514-NP Issued in CO
Practice address
3401 Quebec St Ste 4500
Denver, CO 80207-2310
Phone
(303) 459-5909
Fax
(720) 229-1079
NPI assigned
Mar 17, 2016
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0995514-NP CO Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 1638688 CO

Addresses

Primary practice location

3401 Quebec St Ste 4500
Denver, CO 80207-2310

Mailing address

1870 W 122ND Ave
Westminster, CO 80234-2024
Phone (303) 853-3500

Other practice location 1

8931 Huron St
Thornton, CO 80260-6806
Phone (303) 853-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20201006002833 CO Practitioner - Nurse Practitioner 6305265695 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

3401 Quebec St
Suite 4500
Denver, CO 80207-2310
Phone (303) 459-5909

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1638688COMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Candor Mind and Body Psychiatric/Mental Health CurrentSince Apr 1, 2024 Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Oct 25, 2021 Accepting new patients
Community Reach Center, Inc CurrentSince Jul 1, 2020 Accepting new patients
Arapahoe Mental Health Center, Inc Current Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Oct 25, 2021 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Sep 12, 2021 Accepting new patients
Community Reach Center, Inc CurrentSince Jul 1, 2020 Accepting new patients

Locations

3401 Quebec St
Ste 4500
Denver, CO 80207
Phone (303) 459-5909

116 Inverness Dr E
Ste 105
Englewood, CO 80112
Phone (720) 238-4030

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797

6507 S Santa Fe Dr
Littleton, CO 80120
Phone (303) 730-0797

6509 S Santa Fe Dr
Littleton, CO 80120
Phone (303) 730-3303

8931 Huron St
Thornton, CO 80260
Phone (303) 853-3433

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1497116545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 W 122ND AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342024",
            "telephone_number": "303-853-3500",
            "fax_number": "303-853-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 QUEBEC ST STE 4500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802072310",
            "telephone_number": "303-459-5909",
            "fax_number": "720-229-1079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8931 Huron St",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802606806",
            "country_code": "US",
            "telephone_number": "303-853-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBIGBESAN",
        "first_name": "BUSAYO",
        "middle_name": "BOSE",
        "credential": "MBR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0995514-NP",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CO",
            "license": "1638688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.