ELIZABETH ADEYEMI
NPI 1063093789
Nurse Practitioner - Psychiatric/Mental Health in Bowie, MD
About Elizabeth Adeyemi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH ADEYEMI (NPI 1063093789) is an individual psychiatric/mental health provider in Bowie, Maryland, licensed in Maryland (R205009) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Elizabeth Adeyemi 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 Reassignment
Medicare enrollment records show Elizabeth Adeyemi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bowie, MD 20715
- Reassigned Medicare billing, District of Columbia enrollment
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 20715 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOWIE, MD 20715
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 Elizabeth Adeyemi's NPI number?
The NPI number for Elizabeth Adeyemi is 1063093789. It was assigned to this individual provider in the NPPES registry on April 15, 2021.
Where is Elizabeth Adeyemi located?
Elizabeth Adeyemi practices at 8204 Red Gate Ct, Bowie, MD 20715. The listed phone number is (301) 404-6350.
What is Elizabeth Adeyemi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Elizabeth Adeyemi enrolled in Medicare?
Yes. Elizabeth Adeyemi 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 organization bills Medicare for Elizabeth Adeyemi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Adeyemi reassigns Medicare benefits to Proximity Health Care Services LLC (Bowie, MD). The 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 Elizabeth Adeyemi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Elizabeth Adeyemi was last updated on September 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Elizabeth Adeyemi · NPI 1063093789
Psychiatric/Mental Health physician in Bowie, Maryland. Individual provider, active in the CMS NPPES registry since April 15, 2021.
## Identity
- **NPI:** 1063093789 (Entity type: Individual)
- **Enumerated:** April 15, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R205009 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 8204 RED GATE CT, Bowie, MD 20715-3368
- **Phone:** (301) 404-6350 · **Fax:** (301) 262-7890
## 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:** Proximity Health Care Services LLC (NPI 1396466710, Bowie, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 5, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1063093789) · Data from the CMS NPPES public registry.