DRUCILLA ADENIRAN FNP
NPI 1356073381
Nurse Practitioner - Family in Tracy, CA
About Drucilla Adeniran Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DRUCILLA ADENIRAN FNP (NPI 1356073381) is an individual family provider in Tracy, California, licensed in California (95021366) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Drucilla Adeniran Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Drucilla Adeniran reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tracy, CA 95376
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Premier Urgent Care A Professional Medical Corporation
- 4 clinicians in this Medicare group
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 95376 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Drucilla Adeniran's NPI number?
The NPI number for Drucilla Adeniran is 1356073381. It was assigned to this individual provider in the NPPES registry on June 28, 2022.
Where is Drucilla Adeniran located?
Drucilla Adeniran practices at 644 W 12th St, Tracy, CA 95376. The listed phone number is (209) 832-8984.
What is Drucilla Adeniran's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Drucilla Adeniran enrolled in Medicare?
Yes. Drucilla Adeniran is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Drucilla Adeniran's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Drucilla Adeniran reassigns Medicare benefits to Patel & Pulliam Apmc (Tracy, CA). 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 Drucilla Adeniran'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 Drucilla Adeniran was last updated on June 28, 2022. 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.
# Drucilla Adeniran, FNP · NPI 1356073381
Family physician in Tracy, California. Individual provider, active in the CMS NPPES registry since June 28, 2022.
## Identity
- **NPI:** 1356073381 (Entity type: Individual)
- **Enumerated:** June 28, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95021366 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 644 W 12TH ST, Tracy, CA 95376-3437
- **Phone:** (209) 832-8984
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Patel & Pulliam Apmc (NPI 1568522878, Tracy, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1356073381) · Data from the CMS NPPES public registry.