ADENIKE YETUNDE AWOTUNDUN CRNP
NPI 1174085575
Nurse Practitioner - Psychiatric/Mental Health in Harrisburg, PA

Active since April 03, 2019PECOS Enrolled
110 S 17TH ST, HARRISBURG, PA 17104(717) 232-9971 Get Directions Write a Review

NPPES record last updated: August 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2026, Jun 6, 2026, Sep 11, 2025 and 3 more (6 updates tracked since 2019).

About Adenike Yetunde Awotundun Crnp NPPES

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

ADENIKE YETUNDE AWOTUNDUN CRNP (NPI 1174085575) is an individual psychiatric/mental health provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (SP031075) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1174085575
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameADENIKE YETUNDE AWOTUNDUNCredential: CRNP
Location Address110 S 17TH STHarrisburg, PA 17104-1123
Mailing Address110 S 17th StHarrisburg, PA 17104-1123 · (717) 232-9971
Sole ProprietorNo
Enumeration DateApril 3, 2019
Last NPPES UpdateAugust 15, 20266 updates tracked since enumeration
NPPES CertifiedAugust 15, 2026
✔ NPI 1174085575 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
License✔ Licensed in PA · SP031075
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License SP018939 (PA)
110 S 17TH ST, Harrisburg, PA 17104

Secondary Practice Locations 3

Location 1895 S Arlington AveHarrisburg, PA 17109-5004 · Phone (717) 232-9971
Location 21020 N Union St Apt 204Middletown, PA 17057-2158 · Phone (717) 704-6560
Location 31313 Monroe StHarrisburg, PA 17103-1139 · Phone (717) 232-9971

Other Identifiers 3

Medicaid103734881-0008PA
Medicaid103734881-0007PA
Medicaid103734881-0006PA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adenike Yetunde Awotundun Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Adenike Awotundun reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
110 S 17TH ST
Harrisburg, PA 17104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 28 clinicians in this Medicare group
Clinical
801 E DOUGLAS AVE FL 2
Wichita, KS 67202
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Sondermind PA
  • 70 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17104 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 20

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

Clinic/Center (Federally Qualified Health Center (FQHC))
110 S 17TH ST
HARRISBURG, PA 17104
Internal Medicine
110 S 17TH ST
HARRISBURG, PA 17104
Community Health Worker
110 S 17TH ST
HARRISBURG, PA 17104
Clinic/Center (Federally Qualified Health Center (FQHC))
110 S 17TH ST
HARRISBURG, PA 17104
Counselor (Mental Health)
110 S 17TH ST
HARRISBURG, PA 17104
Nurse Practitioner (Primary Care)
110 S 17TH ST
HARRISBURG, PA 17104
Obstetrics & Gynecology
110 S 17TH ST
HARRISBURG, PA 17104
Registered Nurse
110 S 17TH ST
HARRISBURG, PA 17104

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 Adenike Awotundun's NPI number?

The NPI number for Adenike Awotundun is 1174085575. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Adenike Awotundun located?

Adenike Awotundun practices at 110 S 17th St, Harrisburg, PA 17104. The listed phone number is (717) 232-9971.

What is Adenike Awotundun's specialty?

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

Is Adenike Awotundun enrolled in Medicare?

Yes. Adenike Awotundun is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adenike Awotundun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adenike Awotundun reassigns Medicare benefits to 2 organizations: Hamilton Health Center, Inc. (Harrisburg, PA) and Sondermind, P.A. (Wichita, KS). 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 Adenike Awotundun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adenike Awotundun accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Adenike Awotundun 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 Adenike Awotundun was last updated on August 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.