ADEBOLA A ADEJUWON NP
NPI 1174089239
Nurse Practitioner - Family in Frederick, MD

Active since February 13, 2019PECOS Enrolled
178 THOMAS JOHNSON DR, FREDERICK, MD 21702(301) 673-1901 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2026, Oct 7, 2019, Feb 13, 2019 (3 updates tracked since 2019).

About Adebola A Adejuwon Np NPPES

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

ADEBOLA A ADEJUWON NP (NPI 1174089239) is an individual family provider in Frederick, Maryland, licensed in Maryland (R220058) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174089239
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameADEBOLA A ADEJUWONCredential: NP
Location Address178 THOMAS JOHNSON DRFrederick, MD 21702-4386
Mailing Address178 Thomas Johnson Dr Ste 204lFrederick, MD 21702-4352 · (301) 673-1901
Sole ProprietorNo
Enumeration DateFebruary 13, 2019
Last NPPES UpdateMay 21, 20263 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
NPI 1174089239 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
Licenses Licensed in MD · R220058 Licensed in DC · RN1033944
178 THOMAS JOHNSON DR, Frederick, MD 21702

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Adebola A Adejuwon Np 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 21702 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 4

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

Specialist
178 THOMAS JOHNSON DR
FREDERICK, MD 21702
Dentist (General Practice)
178 THOMAS JOHNSON DR, SUITE 102
FREDERICK, MD 21702
Allergy & Immunology (Allergy)
178 THOMAS JOHNSON DR, SUITE 100
FREDERICK, MD 21702
Social Worker (Clinical)
178 THOMAS JOHNSON DR, SUITE 205
FREDERICK, MD 21702

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 Adejuwon's NPI number?

The NPI number for Adebola Adejuwon is 1174089239. It was assigned to this individual provider in the NPPES registry on February 13, 2019.

Where is Adebola Adejuwon located?

Adebola Adejuwon practices at 178 Thomas Johnson Dr, Frederick, MD 21702. The listed phone number is (301) 673-1901.

What is Adebola Adejuwon's specialty?

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

Is Adebola Adejuwon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Adebola Adejuwon was last updated on May 21, 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.