ABIMBOLA DATONYE IKETUBOSIN FNP
NPI 1356841514
Nurse Practitioner - Family in Phoenix, AZ
About Abimbola Datonye Iketubosin Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABIMBOLA DATONYE IKETUBOSIN FNP (NPI 1356841514) is an individual family provider in Phoenix, Arizona, licensed in Arizona (221449) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Abimbola Datonye Iketubosin Fnp 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Abimbola Iketubosin's NPI number?
The NPI number for Abimbola Iketubosin is 1356841514. It was assigned to this individual provider in the NPPES registry on February 14, 2018.
Where is Abimbola Iketubosin located?
Abimbola Iketubosin practices at 4212 N 16th St, Phoenix, AZ 85016. The listed phone number is (602) 263-1200.
What is Abimbola Iketubosin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Abimbola Iketubosin enrolled in Medicare?
Yes. Abimbola Iketubosin 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 Abimbola Iketubosin accept?
Health plans from Blue Cross Blue Shield of Arizona list Abimbola Iketubosin 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.
When was this NPI record last updated?
The NPPES record for Abimbola Iketubosin was last updated on December 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
