Individual provider

Olubukola Shodiya

Psychiatric/Mental Health Nurse Practitioner Medicare enrolled

Olubukola Shodiya is a Psychiatric/Mental Health Nurse Practitioner in Madison, WI, registered under NPI 1104456961. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 2921 LANDMARK PL STE 215, Madison, WI 53713. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2921 LANDMARK PL STE 215, Madison, WI 53713 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
209.020728 IL Psychiatric/Mental Health Nurse… primary
115698 NE Psychiatric/Mental Health Nurse…
1681833 WI Psychiatric/Mental Health Nurse…
71013331A IN Psychiatric/Mental Health Nurse…

Licences are recorded in 4 states: IL, NE, WI, IN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
9436574969

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 4 states

This provider holds licences in 4 states: Illinois, Indiana, Nebraska and Wisconsin. The practice address on file is in Madison, WI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

IL Illinois
Licence
209.020728
Specialty
Psychiatric/Mental Health Nurse…
Verify with the IL board →
IN Indiana
Licence
71013331A
Specialty
Psychiatric/Mental Health Nurse…
Verify with the IN board →
NE Nebraska
Licence
115698
Specialty
Psychiatric/Mental Health Nurse…
Verify with the NE board →
WI Wisconsin practice address
Licence
1681833
Specialty
Psychiatric/Mental Health Nurse…
Verify with the WI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Psychiatric/Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health 209.020728 IL primary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health 115698 NE
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health 1681833 WI
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health 71013331A IN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104456961 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 21, 2020
Last updatedJun 16, 2025
StatusActive
Sole proprietorYes
Practice address 2921 LANDMARK PL STE 215
Madison, WI 53713
(708) 713-1017
Mailing address 16514 S SUN MEADOW DR
Lockport, IL 60441
Other identifiers 1681833 · WI APRN (WI)
71013331A · IN APRN (IN)
209.020728 · IDFPR (IL)
This record was updated on Jun 16, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104456961 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 4 5 6 9 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 8 5 3 9 3

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104456961?
NPI 1104456961 is the National Provider Identifier assigned to Olubukola Shodiya in Madison, WI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric/Mental Health cover?
Definition to come...
How do I contact Olubukola Shodiya?
The phone number on file with NPPES is (708) 713-1017, last updated Jun 16, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Olubukola Shodiya accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104456961 a valid number?
Yes. 1104456961 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.