1. Home
  2. Directory
  3. Oklahoma
  4. Fort Sill
  5. Nurse Practitioner
  6. NPI Profile

MODUPE ADESOLA
NPI 1184076770
Nurse Practitioner in Fort Sill, OK

Active since July 07, 2016PECOS Enrolled
4301 WILSON ST, FORT SILL, OK 73503(580) 558-8242 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 3, 2019, Aug 2, 2018 (2 updates tracked since 2018).

About Modupe Adesola NPPES

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

MODUPE ADESOLA (NPI 1184076770) is an individual nurse practitioner in Fort Sill, Oklahoma, licensed in Kentucky (3010425) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184076770
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMODUPE ADESOLA
Location Address4301 WILSON STFort Sill, OK 73503-4472
Mailing Address1123 Abbeywood RdLouisville, KY 40222-4401
Phone(580) 558-8242
Sole ProprietorNo
Enumeration DateJuly 7, 2016
Last NPPES UpdateOctober 3, 20192 updates tracked since enumeration
✔ NPI 1184076770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 3010425
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4301 WILSON ST, Fort Sill, OK 73503
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Modupe Adesola 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 Reassignment

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

Commonwealth Of Kentucky
744 mi
Multi-Specialty
1800 BLUEGRASS AVE
Louisville, KY 40215
  • Reassigned Medicare billing, Kentucky enrollment
  • 19 clinicians in this Medicare group
NPI 1114346467 (502) 361-2301

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 73503 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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.

GENEVIEVE GUDORF DPT
Physical Therapist
4301 WILSON ST
FORT SILL, OK 73503
Comanche County (580) 558-3415
DR. DANIEL JAMES CONVEY DDS
Dentist (Oral and Maxillofacial Surgery)
4301 WILSON ST
FORT SILL, OK 73503
Comanche County (580) 558-8302
DR. RANDALL FREEMAN
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
4301 WILSON ST, REYNOLDS ARMY HEALTH CLINIC COMMAND SUITE - DCCS
FORT SILL, OK 73503
Comanche County (580) 558-3000
MRS. CYNTHIA MARIE OSUNA M.A.
Counselor (Professional)
4301 WILSON ST
FORT SILL, OK 73503
Comanche County (580) 442-4562
DR. EDWARD WAYNE LUMPKINS D.D.S.
Dentist (General Practice)
4301 WILSON ST
FORT SILL, OK 73503
Comanche County (850) 558-8375
DAKOTA DORVIL OT
Occupational Therapist
4301 WILSON ST
FORT SILL, OK 73503
Comanche County (580) 558-2770
MICHAEL TRACEY MD, FAAD
Dermatology
4301 WILSON ST
FORT SILL, OK 73503
Comanche County (833) 286-3732
DR. MICHEAL M MCANALLY PHARMACIST
Pharmacist
4301 WILSON ST
FORT SILL, OK 73503
Comanche County (580) 558-3980

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 Modupe Adesola's NPI number?

The NPI number for Modupe Adesola is 1184076770. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Where is Modupe Adesola located?

Modupe Adesola practices at 4301 Wilson St, Fort Sill, OK 73503. The listed phone number is (580) 558-8242.

What is Modupe Adesola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Modupe Adesola enrolled in Medicare?

Yes. Modupe Adesola is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Modupe Adesola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Modupe Adesola reassigns Medicare benefits to Commonwealth Of Kentucky (Louisville, KY). 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 Modupe Adesola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Modupe Adesola was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.