Jamila Moninuola Oladipo, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209.020935 Issued in IL

Practice address

700 W Lincoln St
Pontiac, IL 61764-2323

Phone

(773) 355-1336

NPI assigned

Mar 5, 2020

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 IL

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians

Trio Health Medical Il Psychiatry Partners PLLCGroup PAC ID 7416453618, 4 clinicians

Midwest Family and Community Resources PCGroup PAC ID 0345381018, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• CMC Healthcare LLC

  • Nurse Practitioner
  • Evanston, IL
  • NPI 1295432334
  Medicare reassignment Care Compare group NPD
• Midwest Family and Community Resources PC

  • Community/Behavioral Health Agency
  • Hazel Crest, IL
  • NPI 1770818064
  Medicare reassignment Care Compare group NPD
• Trio Health Medical Il Psychiatry Partners PLLC

  • Psychiatry Physician
  • Evanston, IL
  • NPI 1831071646
  Medicare reassignment Care Compare group NPD
• Triple K Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Calumet City, IL
  • NPI 1891444212
  Medicare reassignment Authorized official
• Provider Healthcare Services, Inc

  • Home Health Agency
  • Kankakee, IL
  • NPI 1417352105
  NPD (past)

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1679108153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 W AUGUSTA BLVD",
            "address_2": "STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606424327",
            "telephone_number": "773-248-2255",
            "fax_number": "773-304-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W LINCOLN ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617642323",
            "telephone_number": "773-355-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLADIPO",
        "first_name": "JAMILA",
        "middle_name": "MONINUOLA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.020935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven S. Norris, M.D.
• Shai Nyi
• Lindsay O'Brien, ED.S.
• Scott B O'Connor, D.P.M.
• Andrew Offermann
• Lindsay Nicole Orr, AGACNP-C
• Osf Saint Francis, Inc
• Mukesh V Patel
• Tarlika M Patel, RPH
• Kathryn Paul, PSY.D

• Psychiatric/Mental Health Nurse Practitioner in Pontiac, IL
• Providers in Pontiac, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.