AJIBOLA A ADESANYA APRN.CNP
NPI 1306504543
Nurse Practitioner - Family in Kettering, OH

Active since December 06, 2021PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
3700 SOUTHERN BLVD STE 300, KETTERING, OH 45429(937) 643-9299(937) 643-2343 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2022, Apr 21, 2022, Dec 6, 2021 (3 updates tracked since 2021).

About Ajibola A Adesanya Aprn.cnp NPPES

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

AJIBOLA A ADESANYA APRN.CNP (NPI 1306504543) is an individual family provider in Kettering, Ohio, licensed in Ohio (APRN.CNP.0030228) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1306504543
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAJIBOLA A ADESANYACredential: APRN.CNP
Location Address3700 SOUTHERN BLVD STE 300Kettering, OH 45429-1265
Mailing Address3700 Southern Blvd Ste 300Kettering, OH 45429-1265 · (937) 643-9299 · Fax (937) 643-2343
Fax(937) 643-2343
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 6, 2021
Last NPPES UpdateAugust 16, 20223 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
NPI 1306504543 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
License Licensed in OH · APRN.CNP.0030228
3700 SOUTHERN BLVD STE 300, Kettering, OH 45429

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ajibola A Adesanya Aprn.cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466849971
PECOS Enrollment IDI20220503000457
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.

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services14 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

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.

Pain Medicine (Interventional Pain Medicine)
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Neurological Surgery
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Physician Assistant
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Nurse Practitioner (Family)
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Nurse Practitioner (Family)
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Orthopaedic Surgery
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Nurse Practitioner (Family)
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429
Neurological Surgery
3700 SOUTHERN BLVD STE 300
KETTERING, OH 45429

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 Ajibola Adesanya's NPI number?

The NPI number for Ajibola Adesanya is 1306504543. It was assigned to this individual provider in the NPPES registry on December 6, 2021.

Where is Ajibola Adesanya located?

Ajibola Adesanya practices at 3700 Southern Blvd Ste 300, Kettering, OH 45429. The listed phone number is (937) 643-9299.

What is Ajibola Adesanya's specialty?

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

Is Ajibola Adesanya enrolled in Medicare?

Yes. Ajibola Adesanya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ajibola Adesanya accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 3 other insurers list Ajibola Adesanya 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.

Is Ajibola Adesanya affiliated with any hospitals?

According to CMS data, Ajibola Adesanya is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Ajibola Adesanya was last updated on August 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.