ADEWUMI C ODEFADEHAN APRN-FPA
NPI 1063900603
Nurse Practitioner - Psychiatric/Mental Health in Arlington Heights, IL

Active since April 30, 2018PECOS Enrolled
1005 S EVERGREEN AVE, ARLINGTON HEIGHTS, IL 60005(847) 787-3734(630) 451-9896 Get Directions Write a Review

NPPES record last updated: April 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2020, May 20, 2019, Apr 30, 2018 (3 updates tracked since 2018).

About Adewumi C Odefadehan Aprn-fpa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADEWUMI C ODEFADEHAN APRN-FPA (NPI 1063900603) is an individual psychiatric/mental health provider in Arlington Heights, Illinois, licensed in Illinois (209017467) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063900603
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameADEWUMI C ODEFADEHANCredential: APRN-FPA
Location Address1005 S EVERGREEN AVEArlington Heights, IL 60005-3144
Mailing Address1005 S Evergreen AveArlington Heights, IL 60005-3144 · (847) 787-3734 · Fax (630) 451-9896
Fax(630) 451-9896
Sole ProprietorNo
Enumeration DateApril 30, 2018
Last NPPES UpdateApril 7, 20203 updates tracked since enumeration
NPPES CertifiedApril 7, 2020
NPI 1063900603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IL · 209017467
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209017467 (IL)
1005 S EVERGREEN AVE, Arlington Heights, IL 60005

Other Identifiers 1

Medicaid1063900603IL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Adewumi C Odefadehan Aprn-fpa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Clinic/Center (Adult Mental Health)
1005 S EVERGREEN AVE
ARLINGTON HEIGHTS, IL 60005
Nurse Practitioner (Family)
1005 S EVERGREEN AVE
ARLINGTON HEIGHTS, IL 60005

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 Adewumi Odefadehan's NPI number?

The NPI number for Adewumi Odefadehan is 1063900603. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Where is Adewumi Odefadehan located?

Adewumi Odefadehan practices at 1005 S Evergreen Ave, Arlington Heights, IL 60005. The listed phone number is (847) 787-3734.

What is Adewumi Odefadehan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Adewumi Odefadehan enrolled in Medicare?

Yes. Adewumi Odefadehan is registered in the Medicare PECOS enrollment system.

What insurance does Adewumi Odefadehan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Adewumi Odefadehan 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 Adewumi Odefadehan was last updated on April 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.