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

Modupe Olutofunmi Bello

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1588143721

Modupe Olutofunmi Bello is a Nurse Practitioner in Saint Joseph, Michigan. Qualified in 2023, 3 years ago. Practices with Lakeland Hospitals at Niles and St Joseph Inc, a 135-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2018

Practice location Address checks out

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone: (269) 983-8300
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 4704408184 (MI)

Record details

NPI number1588143721
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2018
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing address2595 Stratford Dr, Saint Joseph, MI 49085-2713

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 Lakeland Hospitals At Niles And St Joseph Inc — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Joseph