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

Folayemi Olubusayo Ganiyu, NP

Individual provider Nurse Practitioner · NPI 1174340186

Folayemi Olubusayo Ganiyu, NP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2023, 3 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2024
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

11155 Dunn Rd Ste 309E
Saint Louis, MO 63136-6111
Phone: (314) 953-8788
Fax: (314) 953-8798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 139 Avondale Meadows Dr, Wentzville, MO 63385-6629 — (314) 960-5036

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 20242029786 (MO)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 2024029786 (MO)

Record details

NPI number1174340186
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 21, 2024
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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