Similoluwa Olutomiwa Olushola, in Trophy Club, TX

Similoluwa Olutomiwa Olushola, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Trophy Club, Texas. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kotel Atx, Progressive Behavioral Health, Pllc and her current practice location is 2800 E Highway 114 Ste 350, Trophy Club, Texas. You can reach out to her office (for appointments etc.) via phone at (855) 204-2502.

Similoluwa Olutomiwa Olushola is licensed to practice in Texas (license number 1099886) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184499873.

Contact Information

	Similoluwa Olutomiwa Olushola,
	2800 E Highway 114 Ste 350, Trophy Club, TX 76262-5309
	(855) 204-2502
	(817) 783-4672

Map and Direction

Provider's Profile

Full Name	Similoluwa Olutomiwa Olushola
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	2800 E Highway 114 Ste 350, Trophy Club, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Similoluwa Olutomiwa Olushola graduated from nursing school in 2021

NPI Data:

NPI Number: 1184499873
Provider Enumeration Date: 11/22/2023
Last Update Date: 03/24/2026

Medicare PECOS Information:

PECOS PAC ID: 4587199047
Enrollment ID: I20241121001624

Medical Identifiers

Medical identifiers for Similoluwa Olutomiwa Olushola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184499873	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1099886 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kotel Atx	9537578810	27
Progressive Behavioral Health, Pllc	4486794906	393

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. Similoluwa Olutomiwa Olushola allows following entities to bill medicare on her behalf.

Entity Name	Family And Child Guidance Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811062367 PECOS PAC ID: 1153413711 Enrollment ID: O20070828000060

Entity Name	Cityhill Psychiatry And Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851155212 PECOS PAC ID: 4082135025 Enrollment ID: O20250306003746

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. Similoluwa Olutomiwa Olushola 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
Similoluwa Olutomiwa Olushola, 6344 Sudbury Ln, Mesquite, TX 75181-0009 Ph: (817) 323-8792	Similoluwa Olutomiwa Olushola, 2800 E Highway 114 Ste 350, Trophy Club, TX 76262-5309 Ph: (855) 204-2502

Reviews and Comments

Nurse Practitioner Nurses in Trophy Club, TX

Ms. Kristi Allison, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2800 E Highway 114 Ste 350, Trophy Club, TX 76262 Phone: 214-743-1200
Jacquelyn Rain Kelly, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2222 Glasgow Dr, Trophy Club, TX 76262 Phone: 941-321-0439
Bibin Sanju, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2800 E Texas Highway 114, Ste 350, Trophy Club, TX 76262 Phone: 855-204-2502
Anthonia Oyedele, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2800 Tx - 114, Ste 350, Trophy Club, TX 76262 Phone: 855-204-2502
Oluchi Ijeoma Uwajumogu, NP 1051106 Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2800 E Highway 114 Ste 350, Trophy Club, TX 76262 Phone: 855-204-2502 Fax: 817-783-4672
Kalie Irene Mullen, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2300 Sh-114 Ste. 300, Trophy Club, TX 76262 Phone: 817-347-8100 Fax: 817-349-8099

Similoluwa Olutomiwa Olushola, - Medicare Nurse Practitioner in Trophy Club, TX