Conrad Oluranti Olonimoyo, PMHNP-BC - Medicare Nurse Practitioner in White Plains, NY

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Conrad Oluranti Olonimoyo, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in White Plains, New York. This provider graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. This provider is a member of the group practice Memorial Psychiatry Group, Kings Physician Services Pc and their current practice location is 21 Bloomingdale Rd, White Plains, New York. You can reach out to their office (for appointments etc.) via phone at (929) 499-4540.

Conrad Oluranti Olonimoyo is licensed to practice in New York (license number F406694) and this provider also participates in the medicare program. This provider accepts medicare assignments (which means this provider accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and their NPI Number is 1821899584.

Contact Information

Conrad Oluranti Olonimoyo, PMHNP-BC
21 Bloomingdale Rd,
White Plains, NY 10605-1504
(929) 499-4540
Not Available

Map and Direction




Provider's Profile

Full NameConrad Oluranti Olonimoyo
Gender
SpecialityNurse Practitioner
Experience1 Years
Location21 Bloomingdale Rd, White Plains, New York
Accepts Medicare AssignmentsYes. This provider accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Conrad Oluranti Olonimoyo graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1821899584
  • Provider Enumeration Date: 03/20/2025
  • Last Update Date: 09/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5799293486
  • Enrollment ID: I20250804002963

Medical Identifiers

Medical identifiers for Conrad Oluranti Olonimoyo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821899584NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health F406694 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital For Cancer And Allied DiseasesNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Psychiatry Group206230147650
Kings Physician Services Pc0547579427643

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Conrad Oluranti Olonimoyo allows following entities to bill medicare on their behalf.
Entity NameMemorial Psychiatry Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689645244
PECOS PAC ID: 2062301476
Enrollment ID: O20040313000161
Entity NameKings Physician Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083045090
PECOS PAC ID: 0547579427
Enrollment ID: O20151015000175

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Conrad Oluranti Olonimoyo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Conrad Oluranti Olonimoyo, PMHNP-BC
21 Bloomingdale Rd,
White Plains, NY 10605-1504

Ph: (929) 499-4540		Conrad Oluranti Olonimoyo, PMHNP-BC
21 Bloomingdale Rd,
White Plains, NY 10605-1504

Ph: (929) 499-4540

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.