MICHELLE ADEGBEMLE FNP
NPI 1134809809
Nurse Practitioner - Family in Fayetteville, GA

Active since July 18, 2023PECOS EnrolledAccepts Medicare Assignment
385 NAVARRE DR, FAYETTEVILLE, GA 30214(817) 733-4651 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 23, 2023, Oct 20, 2023, Jul 18, 2023 (3 updates tracked since 2023).

About Michelle Adegbemle Fnp NPPES

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

MICHELLE ADEGBEMLE FNP (NPI 1134809809) is an individual family provider in Fayetteville, Georgia, licensed in Georgia (223726) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1134809809
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE ADEGBEMLECredential: FNP
Location Address385 NAVARRE DRFayetteville, GA 30214-4175
Mailing Address385 Navarre DrFayetteville, GA 30214-4175 · (817) 733-4651
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 18, 2023
Last NPPES UpdateOctober 23, 20233 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1134809809 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 GA · 223726
385 NAVARRE DR, Fayetteville, GA 30214

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

Michelle Adegbemle Fnp 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 ID3173060548
PECOS Enrollment IDI20240802001034
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michelle Adegbemle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 clinicians in this Medicare group
Internal Medicine
6085 OLD NATIONAL HWY STE G
South Fulton, GA 30349
  • Reassigned Medicare billing, Georgia enrollment
  • 67 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Michelle Adegbemle's NPI number?

The NPI number for Michelle Adegbemle is 1134809809. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Michelle Adegbemle located?

Michelle Adegbemle practices at 385 Navarre Dr, Fayetteville, GA 30214. The listed phone number is (817) 733-4651.

What is Michelle Adegbemle's specialty?

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

Is Michelle Adegbemle enrolled in Medicare?

Yes. Michelle Adegbemle 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 organizations bill Medicare for Michelle Adegbemle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Adegbemle reassigns Medicare benefits to 2 organizations: Privia Medical Group Of Georgia LLC (Fayetteville, GA) and Centerwell Senior Primary Care Ga PC (South Fulton, GA). Each 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 Michelle Adegbemle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Adegbemle accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Michelle Adegbemle 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 Michelle Adegbemle was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.