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MS. ADEBOLA KAFAYAT ADEGBENRO APRN
NPI 1154970796
Registered Nurse in Lake Mary, FL

Active since September 06, 2019PECOS Enrolled
205 MORNING GLORY DR, LAKE MARY, FL 32746(214) 281-9302 Get Directions Write a Review

NPPES record last updated: February 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2026, Dec 24, 2025, Aug 12, 2022 and 2 more (5 updates tracked since 2019).

About Ms. Adebola Kafayat Adegbenro Aprn NPPES

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

MS. ADEBOLA KAFAYAT ADEGBENRO APRN (NPI 1154970796) is an individual registered nurse in Lake Mary, Florida, licensed in Texas (1051648) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1154970796
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMS. ADEBOLA KAFAYAT ADEGBENROCredential: APRN
Location Address205 MORNING GLORY DRLake Mary, FL 32746-3304
Mailing Address205 Morning Glory DrLake Mary, FL 32746-3304 · (214) 281-9302
Phone(214) 281-9302
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 6, 2019
Last NPPES UpdateFebruary 7, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2026
✔ NPI 1154970796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in TX · 1051648
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedLicensed Vocational NurseTaxonomy 164X00000X · License 349695 (TX)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License RN2360005 (MA), APRN11044371 (FL)
205 MORNING GLORY DR, Lake Mary, FL 32746
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Adebola Kafayat Adegbenro Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537626072
PECOS Enrollment IDI20260805001962
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 Reassignment

Medicare enrollment records show Adebola Adegbenro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Serenity Minds Health PLLC
2,543 mi
Psychiatric/Mental Health
4841 100TH ST NE UNIT A
Marysville, WA 98270
  • Reassigned Medicare billing, Washington enrollment
NPI 1386598969 (321) 324-6947

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Adebola Adegbenro's NPI number?

The NPI number for Adebola Adegbenro is 1154970796. It was assigned to this individual provider in the NPPES registry on September 6, 2019.

Where is Adebola Adegbenro located?

Adebola Adegbenro practices at 205 Morning Glory Dr, Lake Mary, FL 32746. The listed phone number is (214) 281-9302.

What is Adebola Adegbenro's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Adebola Adegbenro enrolled in Medicare?

Yes. Adebola Adegbenro is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adebola Adegbenro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adebola Adegbenro reassigns Medicare benefits to Serenity Minds Health PLLC (Marysville, WA). 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 Adebola Adegbenro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adebola Adegbenro accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Adebola Adegbenro 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 Adebola Adegbenro was last updated on February 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.