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MODUPE R ADEDOJA NP
NPI 1346567013
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since April 21, 2010PECOS EnrolledAccepts Medicare Assignment
111 W MONROE ST STE 300, PHOENIX, AZ 85003(205) 536-8400 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2023, Jul 8, 2021, Nov 18, 2020 (3 updates tracked since 2020).

About Modupe R Adedoja Np NPPES

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

MODUPE R ADEDOJA NP (NPI 1346567013) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (288675) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1346567013
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMODUPE R ADEDOJACredential: NP
Location Address111 W MONROE ST STE 300Phoenix, AZ 85003-1718
Mailing Address111 W Monroe St Ste 300Phoenix, AZ 85003-1718 · (281) 725-7671
Phone(205) 536-8400
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 21, 2010
Last NPPES UpdateDecember 14, 20233 updates tracked since enumeration
NPPES CertifiedDecember 14, 2023
✔ NPI 1346567013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in AZ · 288675✔ Licensed in NY · 405441
Also ListedRegistered NurseTaxonomy 163W00000X · License 628238 (NY), 875172 (TX)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP138574 (TX), F346956 (NY), 288675 (AZ)
111 W MONROE ST STE 300, Phoenix, AZ 85003
Open in Google Maps ↗

Other Names 1

Former Name (1)Rafatu Yisa

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

Modupe R Adedoja Np 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 ID7719468271
PECOS Enrollment IDI20260223002056
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 85003 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 3

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

KAREN SHERIDAN FNP-C
Nurse Practitioner (Family)
111 W MONROE ST STE 300
PHOENIX, AZ 85003
Maricopa County (800) 834-2420
AMY ELIZABETH RUST PA-C, ATC
Physician Assistant
111 W MONROE ST STE 300
PHOENIX, AZ 85003
Maricopa County (800) 834-2420
CHANDA L LASHAY FNP
Nurse Practitioner (Family)
111 W MONROE ST STE 300
PHOENIX, AZ 85003
Maricopa County (205) 536-8400

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 Adedoja's NPI number?

The NPI number for Modupe Adedoja is 1346567013. It was assigned to this individual provider in the NPPES registry on April 21, 2010. The provider is also known as Rafatu Yisa.

Where is Modupe Adedoja located?

Modupe Adedoja practices at 111 W Monroe St Ste 300, Phoenix, AZ 85003. The listed phone number is (205) 536-8400.

What is Modupe Adedoja's specialty?

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

Is Modupe Adedoja enrolled in Medicare?

Yes. Modupe Adedoja 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.

When was this NPI record last updated?

The NPPES record for Modupe Adedoja was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.