1. Home
  2. Directory
  3. Massachusetts
  4. Fall River
  5. Nurse Practitioner
  6. NPI Profile

DR. BAMIDELE ADEOYE FAGBOLA DNP, AGPCNP
NPI 1265002075
Nurse Practitioner in Fall River, MA

Active since June 25, 2021PECOS Enrolled
534 PROSPECT ST, FALL RIVER, MA 02720(508) 973-7766(508) 973-7753 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 18, 2021, Sep 29, 2021, Jun 25, 2021 (3 updates tracked since 2021).

About Dr. Bamidele Adeoye Fagbola Dnp, Agpcnp NPPES

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

DR. BAMIDELE ADEOYE FAGBOLA DNP, AGPCNP (NPI 1265002075) is an individual nurse practitioner in Fall River, Massachusetts, licensed in Massachusetts (RN2301773) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265002075
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDR. BAMIDELE ADEOYE FAGBOLACredential: DNP, AGPCNP
Location Address534 PROSPECT STFall River, MA 02720-5281
Mailing Address200 Mill RdFairhaven, MA 02719-5252 · (508) 973-2000 · Fax (508) 973-2001
Phone(508) 973-7766
Fax(508) 973-7753
Sole ProprietorNo
Enumeration DateJune 25, 2021
Last NPPES UpdateNovember 18, 20213 updates tracked since enumeration
NPPES CertifiedNovember 18, 2021
✔ NPI 1265002075 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 MA · RN2301773
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.
534 PROSPECT ST, Fall River, MA 02720
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)

Dr. Bamidele Adeoye Fagbola Dnp, Agpcnp 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 Bamidele Fagbola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southcoast Physicians Group, Inc.
14 mi
Emergency Medicine
208 MILL RD
Fairhaven, MA 02719
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,144 clinicians in this Medicare group
NPI 1861830143 (855) 319-0518

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 02720 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 11

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

KIMBERLY S. BABB MD
Internal Medicine
534 PROSPECT ST
FALL RIVER, MA 02720
Bristol County (508) 973-7766
LUCAS R RYBACK MD
Internal Medicine
534 PROSPECT ST
FALL RIVER, MA 02720
Bristol County (508) 973-7766
MICHAEL R. ROBERTS MD
Internal Medicine
534 PROSPECT ST
FALL RIVER, MA 02720
Bristol County (508) 973-7766
DR. WARREN M WOOD II MD
Internal Medicine
534 PROSPECT ST
FALL RIVER, MA 02720
Bristol County (508) 973-7766
HARVEY A REBACK MD
Internal Medicine
534 PROSPECT ST
FALL RIVER, MA 02720
Bristol County (508) 973-7766
STACEY SALLAR DNP
Nurse Practitioner
534 PROSPECT ST
FALL RIVER, MA 02720
Bristol County (508) 973-7766
TAYLOR LYNN BARDSLEY FNP-C
Nurse Practitioner (Primary Care)
534 PROSPECT ST
FALL RIVER, MA 02720
Bristol County (508) 973-7766
DR. MARC A THEROUX MD
Internal Medicine
534 PROSPECT ST
FALL RIVER, MA 02720
Bristol County (508) 973-7766

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 Bamidele Fagbola's NPI number?

The NPI number for Bamidele Fagbola is 1265002075. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Where is Bamidele Fagbola located?

Bamidele Fagbola practices at 534 Prospect St, Fall River, MA 02720. The listed phone number is (508) 973-7766.

What is Bamidele Fagbola's specialty?

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

Is Bamidele Fagbola enrolled in Medicare?

Yes. Bamidele Fagbola is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bamidele Fagbola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bamidele Fagbola reassigns Medicare benefits to Southcoast Physicians Group, Inc. (Fairhaven, MA). 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 Bamidele Fagbola'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 Bamidele Fagbola was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.