MODUPE ADESOLA
NPI 1184076770
Nurse Practitioner in Fort Sill, OK

Q: 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.

Q: What is Modupe Adesola's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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

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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

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Medicare Participation & PECOS CMS

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

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.

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.

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