BOSE AJAYI
NPI 1043882533
Nurse Practitioner - Psychiatric/Mental Health in Fairfax, VA
About Bose Ajayi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOSE AJAYI (NPI 1043882533) is an individual psychiatric/mental health provider in Fairfax, Virginia, licensed in Virginia (0024182918) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bose Ajayi is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Bose Ajayi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Arlington, VA 22207
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 267 clinicians in this Medicare group
Washington, DC 20024
- Reassigned Medicare billing, District of Columbia enrollment
Miami, FL 33130
- Reassigned Medicare billing, District of Columbia enrollment
- 1,424 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bose Ajayi's NPI number?
The NPI number for Bose Ajayi is 1043882533. It was assigned to this individual provider in the NPPES registry on July 14, 2021.
Where is Bose Ajayi located?
Bose Ajayi practices at 11166 Fairfax Blvd Ste 308, Fairfax, VA 22030. The listed phone number is (667) 668-2566.
What is Bose Ajayi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Bose Ajayi enrolled in Medicare?
Yes. Bose Ajayi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Bose Ajayi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bose Ajayi reassigns Medicare benefits to 3 organizations: Columbia Associates In Psychiatry PC (Arlington, VA), Guiding-Light Behaverol Health (Washington, DC) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bose Ajayi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bose Ajayi accept?
Health plans from Oscar Health list Bose Ajayi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bose Ajayi was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bose Ajayi · NPI 1043882533
Psychiatric/Mental Health physician in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since July 14, 2021.
## Identity
- **NPI:** 1043882533 (Entity type: Individual)
- **Enumerated:** July 14, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0024182918 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 11166 FAIRFAX BLVD STE 308, Fairfax, VA 22030-5017
- **Phone:** (667) 668-2566
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Columbia Associates In Psychiatry PC (NPI 1699012930, Arlington, VA); Guiding-Light Behaverol Health (NPI 1588548945, Washington, DC); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1043882533) · Data from the CMS NPPES public registry.