ABISOLA E ABIMBOLA
NPI 1083440457
Nurse Practitioner - Family in Saint Louis, MO

Active since September 11, 2024PECOS EnrolledAccepts Medicare Assignment
7334 S LINDBERGH BLVD, SAINT LOUIS, MO 63125(866) 389-2727 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2024, Sep 11, 2024 (2 updates tracked since 2024).

About Abisola E Abimbola NPPES

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

ABISOLA E ABIMBOLA (NPI 1083440457) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2024039031) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083440457
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameABISOLA E ABIMBOLA
Location Address7334 S LINDBERGH BLVDSaint Louis, MO 63125-4522
Mailing Address6015 Staely AveSaint Louis, MO 63123-3460 · (732) 763-0359
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 11, 2024
Last NPPES UpdateDecember 11, 20242 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
NPI 1083440457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in MO · 2024039031 Licensed in IL · 209.030308
Also ListedRegistered NurseTaxonomy 163W00000X · License 2024037599 (MO), 041.447832 (IL)
7334 S LINDBERGH BLVD, Saint Louis, MO 63125

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

Abisola E Abimbola 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 ID8921535469
PECOS Enrollment IDI20241223002718, I20250911002272
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 63125 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 19

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

Nurse Practitioner (Family)
7334 S LINDBERGH BLVD
SAINT LOUIS, MO 63125
Pharmacist
7334 S LINDBERGH BLVD
SAINT LOUIS, MO 63125
Nurse Practitioner (Family)
7334 S LINDBERGH BLVD
SAINT LOUIS, MO 63125
Pharmacist
7334 S LINDBERGH BLVD
SAINT LOUIS, MO 63125
Nurse Practitioner (Family)
7334 S LINDBERGH BLVD
SAINT LOUIS, MO 63125
Nurse Practitioner (Family)
7334 S LINDBERGH BLVD
SAINT LOUIS, MO 63125
Pharmacy
7334 S LINDBERGH BLVD
SAINT LOUIS, MO 63125
Nurse Practitioner (Family)
7334 S LINDBERGH BLVD
SAINT LOUIS, MO 63125

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 Abisola Abimbola's NPI number?

The NPI number for Abisola Abimbola is 1083440457. It was assigned to this individual provider in the NPPES registry on September 11, 2024.

Where is Abisola Abimbola located?

Abisola Abimbola practices at 7334 S Lindbergh Blvd, Saint Louis, MO 63125. The listed phone number is (866) 389-2727.

What is Abisola Abimbola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Abisola Abimbola enrolled in Medicare?

Yes. Abisola Abimbola 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.

When was this NPI record last updated?

The NPPES record for Abisola Abimbola was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.