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

Olukemi Ajibola

Individual provider Medical Physician Assistant · NPI 1285021121

Olukemi Ajibola is a Physician Assistant in Mequon, Wisconsin. Qualified in 2021, 5 years ago. Practices with Aurora Advanced Healthcare, Inc, a 1,101-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Wisconsin.

Years since qualifying
5
Licensed in
CA, WI
In the registry since
2015
Specialties on file
2

Practice location Address checks out

10600 N Port Washington Rd Ste 200
Mequon, WI 53092-5084
Phone: (262) 240-3100
Show map & directions

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

Additional practice locations (2)

  • 803 Figueroa St, Wilmington, CA 90744-2300 — (310) 974-8379
  • 10600 N Port Washington Rd Ste 200, Mequon, WI 53092-5084 — (262) 240-3100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7202-023 (WI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 52375 (CA)

Record details

NPI number1285021121
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 17, 2015
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023
Mailing addressN53w15851 Creekwood Xing, Menomonee Falls, WI 53051-0610

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Aurora Advanced Healthcare, Inc. — 1101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mequon