ABIOLA OLATUNDUN ADAGUNODO NURSE PRACTITIONER
NPI 1104683044
Nurse Practitioner - Family in Montgomery, AL

Q: What is Abiola Adagunodo's NPI number?

The NPI number for Abiola Adagunodo is 1104683044. It was assigned to this individual provider in the NPPES registry on March 5, 2024.

Q: What is Abiola Adagunodo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Abiola Adagunodo was last updated on March 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 05, 2024PECOS Enrolled

400 TAYLOR RD, MONTGOMERY, AL 36117(334) 277-8330 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Abiola Olatundun Adagunodo Nurse Practitioner NPPES

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

ABIOLA OLATUNDUN ADAGUNODO NURSE PRACTITIONER (NPI 1104683044) is an individual family provider in Montgomery, Alabama, licensed in Alabama (F02241228) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104683044

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameABIOLA OLATUNDUN ADAGUNODOCredential: NURSE PRACTITIONER

Location Address400 TAYLOR RDMontgomery, AL 36117-3512

Mailing Address400 Taylor RdMontgomery, AL 36117-3512 · (334) 300-7574

Phone(334) 277-8330

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 5, 2024

Last NPPES UpdateMarch 11, 2024

NPPES CertifiedMarch 11, 2024

✔ NPI 1104683044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AL · F02241228

400 TAYLOR RD, Montgomery, AL 36117

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abiola Olatundun Adagunodo Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820525256

PECOS Enrollment IDI20251121002808, I20260218004282

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 36117 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.