Kafayat Olateju Popoola, PMHNP-BC in Roswell, NM

Kafayat Olateju Popoola, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Roswell, New Mexico. Her current practice location is 207 N Union Ave Ste E, Roswell, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 363-3189.

Kafayat Olateju Popoola is licensed to practice in Texas (license number 1057732) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073335436.

Contact Information

	Kafayat Olateju Popoola, PMHNP-BC
	207 N Union Ave Ste E, Roswell, NM 88201-3068
	(575) 363-3189
	(575) 363-3188

Map and Direction

Provider's Profile

Full Name	Kafayat Olateju Popoola
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	207 N Union Ave Ste E, Roswell, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073335436
Provider Enumeration Date: 10/28/2024
Last Update Date: 03/04/2025

Medicare PECOS Information:

PECOS PAC ID: 9931620879
Enrollment ID: I20250307000148

Medical Identifiers

Medical identifiers for Kafayat Olateju Popoola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073335436	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1057732 (Texas)	Primary

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. Kafayat Olateju Popoola allows following entities to bill medicare on her behalf.

Entity Name	Renew Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336808831 PECOS PAC ID: 7214314723 Enrollment ID: O20220520002123

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. Kafayat Olateju Popoola 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 Address	Practice Location Address
Kafayat Olateju Popoola, PMHNP-BC 809 Virginia Dr, Mansfield, TX 76063-5510 Ph: (346) 235-7127	Kafayat Olateju Popoola, PMHNP-BC 207 N Union Ave Ste E, Roswell, NM 88201-3068 Ph: (575) 363-3189

Reviews and Comments

Nurse Practitioner Nurses in Roswell, NM

Dr. Krasimir M Hristov, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 E College Blvd Ste E, Roswell, NM 88201 Phone: 575-623-3155 Fax: 915-587-6324
Katherine M Thatcher, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 N Delaware Ave, Roswell, NM 88203 Phone: 575-973-8543 Fax: 575-578-1901
Mrs. Leticia Medrano, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 E 23rd St, Roswell, NM 88201 Phone: 575-625-1292 Fax: 575-624-4836
Tonia Elizabeth Montoya, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1112 N Main St, Roswell, NM 88201 Phone: 575-627-4200
Darla Gene Melton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W Country Club Rd Ste 230, Roswell, NM 88201 Phone: 575-622-1411 Fax: 575-624-5630
Ms. Kimberly A Hansen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 W Bland St, Roswell, NM 88203 Phone: 575-623-1303 Fax: 575-622-1303

Kafayat Olateju Popoola, PMHNP-BC - Medicare Nurse Practitioner in Roswell, NM