Individual provider Active NPI

Olabode Moses Oluga, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Evanston, IL
National Provider Identifier
1942946207
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209024960 Issued in IL
Practice address
820 Davis St Ste 504E
Evanston, IL 60201-4448
Phone
(847) 986-8978
NPI assigned
May 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 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 209024960 IL Primary

Addresses

Primary practice location

820 Davis St Ste 504E
Evanston, IL 60201-4448

Mailing address

820 Davis St Ste 504E
Evanston, IL 60201-4448
Phone (847) 986-8978

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231122002473 IL Practitioner - Nurse Practitioner 4789032145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

820 Davis St
Suite 504E
Evanston, IL 60201-4448
Phone (847) 986-8978

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209024960ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clearview Psychiatric Services LLC CurrentSince Oct 14, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jan 7, 2025 Accepting new patients

Locations

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

1603 Orrington Ave
Ste 600
Evanston, IL 60201
Phone (773) 234-7246

820 Davis St
Ste 504E
Evanston, IL 60201
Phone (847) 986-8978

Interoperability endpoints

  • Direct secure messaging: ms_ooluga@landmarkhealth-direct.org

Organizations & group practices 2

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": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1942946207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 DAVIS ST STE 504E",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014448",
            "telephone_number": "847-986-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 DAVIS ST STE 504E",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014448",
            "telephone_number": "847-986-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUGA",
        "first_name": "OLABODE",
        "middle_name": "MOSES",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-10",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209024960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.