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DRUCILLA ADENIRAN FNP
NPI 1356073381
Nurse Practitioner - Family in Tracy, CA

Active since June 28, 2022PECOS Enrolled
644 W 12TH ST, TRACY, CA 95376(209) 832-8984 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1356073381
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDRUCILLA ADENIRANCredential: FNP
Location Address644 W 12TH STTracy, CA 95376-3437
Mailing Address1562 Egret DrTracy, CA 95376-8317 · (209) 814-6791
Phone(209) 832-8984
Sole ProprietorNo
Enumeration DateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1356073381 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 CA · 95021366
644 W 12TH ST, Tracy, CA 95376
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Drucilla Adeniran Fnp 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.

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.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

DR. IAN THOMAS PULLIAM D.O.
Family Medicine
644 W 12TH ST
TRACY, CA 95376
San Joaquin County (209) 832-8984
DR. JAGDISH A PATEL M.D.
Family Medicine (Adult Medicine)
644 W 12TH ST
TRACY, CA 95376
San Joaquin County (209) 832-8984
PREMIER URGENT CARE A PROFESSIONAL MEDICAL CORPORATION
Family Medicine
644 W 12TH ST
TRACY, CA 95376
San Joaquin County (209) 832-8984

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.

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.