Oluwagbemileke Ayodeji Adedotun, DNP, APRN, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Las Vegas, NV
NPI 1699599415 · NPPES record last updated Aug 31, 2026
Key facts
- NPI
- 1699599415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 814073 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- 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 PLLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250313001401 | NV | Practitioner - Nurse Practitioner | 0244752731 |
Reassigns benefits to 3 organizations Practice locations: Las Vegas, NV |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 814073 | NV | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridge Health Services | Psychiatric/Mental Health | Current |
Accepting new patients |
| Lifeline Health Services | Current |
Accepting new patients | |
| Psychplus Medical Associates, PLLC | Current |
Accepting new patients | |
| Psychiatry of Texas PLLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
601 S Rancho Dr
Ste D29
Las Vegas, NV 89106
Phone (702) 840-0551
2500 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 341-1436
639 Isbell Rd
Ste 380
Reno, NV 89509
Phone (775) 348-5800
7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 814073 | NV | Yes |
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
Other providers in Las Vegas, NV
- Addus Healthcare (Nevada), Inc.
- Addus Healthcare Inc
- Susan Addy
- Adeola Serifat Adebayo
- Peter Adedirary
- Oluyemisi Olayinka Adedotun
- Muhammad Y Adeel
- Ayoola Adekile
- Kianoush Adel
- Evelyn Denise Adelaja
All providers in Las Vegas, NV · Psychiatric/Mental Health Nurse Practitioner in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.