Individual provider Active NPI

Oluwagbemileke Ayodeji Adedotun, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1699599415
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
814073 Issued in NV
Practice address
6628 Sky Pointe Dr
Las Vegas, NV 89131-4070
Phone
(702) 602-7626
Fax
(949) 627-8559
NPI assigned
Nov 8, 2024
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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 814073 NV Primary

Addresses

Primary practice location

6628 Sky Pointe Dr
Las Vegas, NV 89131-4070

Mailing address

304 S Jones Blvd # 2676
Las Vegas, NV 89107-2623
Phone (702) 602-7626

Other practice location 1

2145 El Paseo Rd
Las Cruces, NM 88001-6008
Phone (702) 602-7626

Other practice location 2

304 S Jones Blvd # 2676
Las Vegas, NV 89107-2623
Phone (702) 602-7626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20250313001401 NV Practitioner - Nurse Practitioner 0244752731 Reassigns benefits to 3 organizations
Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

603 Palmhurst Dr
Las Vegas, NV 89145-6107

639 Isbell Rd
Suite 380
Reno, NV 89509-4982
Phone (832) 869-4818

6628 Sky Pointe Dr
Suite 103
Las Vegas, NV 89131-4071
Phone (702) 344-8378

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Mar 7, 2025 Accepting new patients
Bridge Health Services Psychiatric/Mental Health CurrentSince Feb 14, 2025 Accepting new patients
Lifeline Health Services CurrentSince Feb 14, 2025 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Mar 7, 2025 Accepting new patients

Locations

2500 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 341-1436

601 S Rancho Dr
Ste D29
Las Vegas, NV 89106
Phone (702) 840-0551

639 Isbell Rd
Ste 380
Reno, NV 89509
Phone (775) 348-5800

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 5

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": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1699599415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S JONES BLVD # 2676",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072623",
            "telephone_number": "702-602-7626",
            "fax_number": "949-627-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6628 SKY POINTE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891314070",
            "telephone_number": "702-602-7626",
            "fax_number": "949-627-8559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2145 El Paseo Rd",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880016008",
            "country_code": "US",
            "telephone_number": "702-602-7626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 S Jones Blvd # 2676",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891072623",
            "country_code": "US",
            "telephone_number": "702-602-7626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEDOTUN",
        "first_name": "OLUWAGBEMILEKE",
        "middle_name": "AYODEJI",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-08",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "814073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.