ADEDOYIN ODUMUYIWA FNP-BC
NPI 1073472858
Nurse Practitioner - Family in Chelsea, MA
About Adedoyin Odumuyiwa Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADEDOYIN ODUMUYIWA FNP-BC (NPI 1073472858) is an individual family provider in Chelsea, Massachusetts, licensed in Massachusetts (RN2382370) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Adedoyin Odumuyiwa Fnp-bc 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 Adedoyin Odumuyiwa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Canton, MA 02021
- Reassigned Medicare billing, Massachusetts enrollment
- 113 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 02150 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Adedoyin Odumuyiwa's NPI number?
The NPI number for Adedoyin Odumuyiwa is 1073472858. It was assigned to this individual provider in the NPPES registry on January 19, 2026.
Where is Adedoyin Odumuyiwa located?
Adedoyin Odumuyiwa practices at 165 Captains Row, Chelsea, MA 02150. The listed phone number is (617) 887-0001.
What is Adedoyin Odumuyiwa's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Adedoyin Odumuyiwa enrolled in Medicare?
Yes. Adedoyin Odumuyiwa 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 Adedoyin Odumuyiwa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adedoyin Odumuyiwa reassigns Medicare benefits to Vantage Healthcare LLC (Canton, MA). 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 Adedoyin Odumuyiwa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Adedoyin Odumuyiwa accept?
Health plans from WellSense Health Plan list Adedoyin Odumuyiwa 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 Adedoyin Odumuyiwa was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Adedoyin Odumuyiwa, FNP-BC · NPI 1073472858
Family physician in Chelsea, Massachusetts. Individual provider, active in the CMS NPPES registry since January 19, 2026.
## Identity
- **NPI:** 1073472858 (Entity type: Individual)
- **Enumerated:** January 19, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN2382370 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 165 CAPTAINS ROW, Chelsea, MA 02150-4019
- **Phone:** (617) 887-0001
## 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:** Vantage Healthcare LLC (NPI 1366903551, Canton, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** January 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073472858) · Data from the CMS NPPES public registry.