ADENIKE YETUNDE AWOTUNDUN CRNP
NPI 1174085575
Nurse Practitioner - Family in Harrisburg, PA

Q: 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.

Q: What is Adenike Awotundun'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 Adenike Awotundun was last updated on June 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: June 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2026, Sep 11, 2025, Mar 4, 2025 and 2 more (5 updates tracked since 2019).

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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 family provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (SP018939) 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 Taxonomy363LF0000X

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

Phone(717) 232-9971

Sole ProprietorNo

Enumeration DateApril 3, 2019

Last NPPES UpdateJune 6, 20265 updates tracked since enumeration

NPPES CertifiedJune 6, 2026

✔ NPI 1174085575 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

License✔ Licensed in PA · SP018939

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License SP031075 (PA)

110 S 17TH ST, Harrisburg, PA 17104

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Secondary Practice Locations 3

Location 11020 N Union St Apt 204Middletown, PA 17057-2158 · Phone (717) 704-6560

Location 2895 S Arlington AveHarrisburg, PA 17109-5004 · Phone (717) 232-9971

Location 31313 Monroe StHarrisburg, PA 17103-1139 · Phone (717) 232-9971

Other Identifiers 3

Medicaid103734881-0008PA

Medicaid103734881-0007PA

Medicaid103734881-0006PA

Medicare Participation & PECOS CMS

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

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.

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.

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