CHRISTIANAH OLUBUKOLA ADEDURO MSN, FNP-C, PMHNP-BC
NPI 1194315697
Nurse Practitioner - Psychiatric/Mental Health in Palmdale, CA

Q: What is Christianah Adeduro's NPI number?

The NPI number for Christianah Adeduro is 1194315697. It was assigned to this individual provider in the NPPES registry on January 19, 2021.

Q: What is Christianah Adeduro's specialty?

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

Active since January 19, 2021PECOS Enrolled

550 W RANCHO VISTA BLVD STE D, PALMDALE, CA 93551(661) 418-2889(661) 418-2889 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 13, 2025, Apr 9, 2021, Jan 19, 2021 (3 updates tracked since 2021).

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About Christianah Olubukola Adeduro Msn, Fnp-c, Pmhnp-bc NPPES

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

CHRISTIANAH OLUBUKOLA ADEDURO MSN, FNP-C, PMHNP-BC (NPI 1194315697) is an individual psychiatric/mental health provider in Palmdale, California, licensed in California (95016168) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Jose.

NPPES Registry Identity

NPI1194315697

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCHRISTIANAH OLUBUKOLA ADEDUROCredential: MSN, FNP-C, PMHNP-BC

Location Address550 W RANCHO VISTA BLVD STE DPalmdale, CA 93551-3011

Mailing Address550 W Rancho Vista Blvd Ste DPalmdale, CA 93551-3011 · (661) 418-2889 · Fax (661) 418-2892

Phone(661) 418-2889

Fax(661) 418-2889

Sole ProprietorYes

Enumeration DateJanuary 19, 2021

Last NPPES UpdateMay 13, 20253 updates tracked since enumeration

NPPES CertifiedMay 12, 2025

✔ NPI 1194315697 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 CA · 95016168

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95016168 (CA)

550 W RANCHO VISTA BLVD STE D, Palmdale, CA 93551

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Secondary Practice Location 1

Location 14010 Moorpark Ave Ste 114San Jose, CA 95117-1803 · Phone (504) 414-5095 · Fax (415) 449-3540

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., BridgeSpan Health Company, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christianah Olubukola Adeduro Msn, Fnp-c, Pmhnp-bc 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

Medicare enrollment records show Christianah Adeduro reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PC

283 mi

Mental Health

99 S ALMADEN BLVD STE 600
San Jose, CA 95113

Reassigned Medicare billing, California enrollment
3,139 clinicians in this Medicare group

NPI 1154994846 (408) 402-4385

Boulder Care Provider Group PA

791 mi

Addiction Medicine

111 SW NAITO PKWY STE 200
Portland, OR 97204

Reassigned Medicare billing, Ohio, Oregon and Washington enrollments
162 clinicians in this Medicare group

NPI 1649838590 (888) 316-0451

Mental Health Specialty Group PA

2,203 mi

Mental Health

110 N CORCORAN ST FL 5
Durham, NC 27701

Reassigned Medicare billing, Oregon enrollment
60 clinicians in this Medicare group

NPI 1801472634 (323) 205-7088

Grow Healthcare Group PA

2,335 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Oregon and Washington enrollments
285 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

23 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93551 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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

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

MACDONALD UCHENNA OROGWU

Respiratory Therapist, Registered (General Care)

550 W RANCHO VISTA BLVD STE D
PALMDALE, CA 93551

Los Angeles County (442) 600-4466

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 Christianah Adeduro's NPI number?

The NPI number for Christianah Adeduro is 1194315697. It was assigned to this individual provider in the NPPES registry on January 19, 2021.

Where is Christianah Adeduro located?

Christianah Adeduro practices at 550 W Rancho Vista Blvd Ste D, Palmdale, CA 93551. The listed phone number is (661) 418-2889.

What is Christianah Adeduro's specialty?

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

Is Christianah Adeduro enrolled in Medicare?

Yes. Christianah Adeduro is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Christianah Adeduro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christianah Adeduro reassigns Medicare benefits to 4 organizations: Grow Healthcare Group PC (San Jose, CA), Boulder Care Provider Group PA (Portland, OR), Mental Health Specialty Group PA (Durham, NC) and Grow Healthcare Group PA (Miami, FL). 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 Christianah Adeduro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Christianah Adeduro accept?

Health plans from Antidote Health Plan of Ohio, Inc., BridgeSpan Health Company, CareSource (Common Ground Healthcare), Regence BlueCross BlueShield of Oregon and UnitedHealthcare list Christianah Adeduro 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 Christianah Adeduro was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.