Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boluwaji Iyiola

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1669280293

Boluwaji Iyiola is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2024, 2 years ago. Practices with Cnp Operating Co LLC, a 69-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024

Practice location Address checks out

4102 Shore Dr
Indianapolis, IN 46254-2608
Phone: (317) 597-2117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71016263A (IN)

Record details

NPI number1669280293
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 30, 2024
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Cnp Operating Co Llc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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