OYERONKE O AJIBOYE-LALA NP
NPI 1073920203
Nurse Practitioner - Psychiatric/Mental Health in Douglas, AZ

Active since July 21, 2014PECOS EnrolledAccepts Medicare Assignment
1701 N DOUGLAS AVE, DOUGLAS, AZ 85607(520) 366-3133 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2026, Feb 2, 2022, Nov 15, 2021 and 1 more (4 updates tracked since 2021).

About Oyeronke O Ajiboye-lala Np NPPES

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

OYERONKE O AJIBOYE-LALA NP (NPI 1073920203) is an individual psychiatric/mental health provider in Douglas, Arizona, licensed in Arizona (AP11428) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073920203
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameOYERONKE O AJIBOYE-LALACredential: NP
Location Address1701 N DOUGLAS AVEDouglas, AZ 85607-1019
Mailing Address3651 Peachtree Parkway, Ste E #234Suwanee, GA 30024 · (470) 270-0730
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 21, 2014
Last NPPES UpdateApril 2, 20264 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
NPI 1073920203 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
Licenses Licensed in AZ · AP11428 Licensed in CA · 95019627 Licensed in NY · 404390 Licensed in GA · APRN-NP201907 Licensed in CO · C-APN.0100643-C-NP Licensed in MA · RN2349570 Licensed in NM · 72860 Licensed in FL · APRN11011367 Licensed in DE · L8-0010430 Licensed in OR · 202103599NP-PP Licensed in KS · 53-82112-121 Licensed in MD · AC005293 Licensed in WA · AP61054931
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN201907 (GA)
1701 N DOUGLAS AVE, Douglas, AZ 85607

Secondary Practice Locations 2

Location 11175 Cascade Parkway, Kaiser Permanente Cascade Medical CenterAtlanta, GA 30311 · Phone (404) 505-4006
Location 2100 N Howard St Ste RSpokane, WA 99201-0508 · Phone (470) 270-0730

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 and accepts Medicare assignment

Oyeronke O Ajiboye-lala Np 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.

PECOS PAC ID9032331202
PECOS Enrollment IDI20141104001765
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 85607 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Public Health or Welfare
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Counselor (Addiction (Substance Use Disorder))
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Counselor (Addiction (Substance Use Disorder))
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Pharmacy (Long Term Care Pharmacy)
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Counselor (Professional)
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Counselor (Professional)
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Registered Nurse
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Social Worker (Clinical)
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607

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 Oyeronke Ajiboye-lala's NPI number?

The NPI number for Oyeronke Ajiboye-lala is 1073920203. It was assigned to this individual provider in the NPPES registry on July 21, 2014.

Where is Oyeronke Ajiboye-lala located?

Oyeronke Ajiboye-lala practices at 1701 N Douglas Ave, Douglas, AZ 85607. The listed phone number is (520) 366-3133.

What is Oyeronke Ajiboye-lala's specialty?

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

Is Oyeronke Ajiboye-lala enrolled in Medicare?

Yes. Oyeronke Ajiboye-lala 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.

What insurance does Oyeronke Ajiboye-lala accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Harvard Pilgrim Health Care and 6 other insurers list Oyeronke Ajiboye-lala 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 Oyeronke Ajiboye-lala was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.