MICHAEL OLUSEGUN ADEDURO PMHNP-BC
NPI 1386352789
Nurse Practitioner - Psychiatric/Mental Health in Lancaster, CA

Active since November 14, 2022PECOS EnrolledAccepts Medicare Assignment
4653 VAHAN CT, LANCASTER, CA 93536(661) 916-5608 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michael Olusegun Adeduro Pmhnp-bc NPPES

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

MICHAEL OLUSEGUN ADEDURO PMHNP-BC (NPI 1386352789) is an individual psychiatric/mental health provider in Lancaster, California, licensed in California (95023296) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1386352789
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMICHAEL OLUSEGUN ADEDUROCredential: PMHNP-BC
Location Address4653 VAHAN CTLancaster, CA 93536-6880
Mailing Address4653 Vahan CtLancaster, CA 93536-6880 · (661) 916-5608
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 14, 2022
NPPES CertifiedNovember 14, 2022
✔ NPI 1386352789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95023296
4653 VAHAN CT, Lancaster, CA 93536

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Olusegun Adeduro Pmhnp-bc 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 ID7618340449
PECOS Enrollment IDI20230227001339
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Michael Adeduro reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
44421 10TH ST W
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 93 clinicians in this Medicare group
Psychiatry
8235 SANTA MONICA BLVD, SUITE 300
West Hollywood, CA 90046
  • Reassigned Medicare billing, California enrollment
  • 204 clinicians in this Medicare group
Adult Mental Health
2300 S UNION AVE
Bakersfield, CA 93307
  • Reassigned Medicare billing, California enrollment
  • 213 clinicians in this Medicare group
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 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.

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
47 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93536 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Michael Adeduro's NPI number?

The NPI number for Michael Adeduro is 1386352789. It was assigned to this individual provider in the NPPES registry on November 14, 2022.

Where is Michael Adeduro located?

Michael Adeduro practices at 4653 Vahan Ct, Lancaster, CA 93536. The listed phone number is (661) 916-5608.

What is Michael Adeduro's specialty?

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

Is Michael Adeduro enrolled in Medicare?

Yes. Michael Adeduro 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.

Which organizations bill Medicare for Michael Adeduro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Adeduro reassigns Medicare benefits to 5 organizations: Tarzana Treatment Centers, Inc. (Lancaster, CA), Mellow Medical Inc A Professional Corporation (West Hollywood, CA), County Of Kern (Bakersfield, CA), Grow Healthcare Group PC (San Jose, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each 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 Michael Adeduro'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 Michael Adeduro was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.