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MOFOLUWASHO ADENEKAN FNP
NPI 1407460207
Nurse Practitioner - Family in Knoxville, TN

Active since August 31, 2020PECOS Enrolled
6100 STRATFORD PARK BLVD, KNOXVILLE, TN 37912(865) 237-9291 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mofoluwasho Adenekan Fnp NPPES

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

MOFOLUWASHO ADENEKAN FNP (NPI 1407460207) is an individual family provider in Knoxville, Tennessee, licensed in Tennessee (2020067608) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407460207
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMOFOLUWASHO ADENEKANCredential: FNP
Location Address6100 STRATFORD PARK BLVDKnoxville, TN 37912-2109
Mailing Address6100 Stratford Park BlvdKnoxville, TN 37912-2109 · (865) 237-9291
Phone(865) 237-9291
Sole ProprietorNo
Enumeration DateAugust 31, 2020
Last NPPES UpdateSeptember 1, 2020
NPPES CertifiedSeptember 1, 2020
✔ NPI 1407460207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 2020067608
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 2020067608 (TN)
6100 STRATFORD PARK BLVD, Knoxville, TN 37912
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mofoluwasho Adenekan 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mofoluwasho Adenekan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Wound Care Of North Texas PLLC
760 mi
Family Medicine
13154 COIT RD STE 102D
Dallas, TX 75240
  • Reassigned Medicare billing, Texas enrollment
  • 17 clinicians in this Medicare group
NPI 1366908600 (956) 332-3809
Glc Wellness Center Texas LLC
774 mi
General Practice
777 E WHEATLAND RD STE 106
Duncanville, TX 75116
  • Reassigned Medicare billing, Texas enrollment
  • 11 clinicians in this Medicare group
NPI 1700433653 (702) 587-8106

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 37912 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 Mofoluwasho Adenekan's NPI number?

The NPI number for Mofoluwasho Adenekan is 1407460207. It was assigned to this individual provider in the NPPES registry on August 31, 2020.

Where is Mofoluwasho Adenekan located?

Mofoluwasho Adenekan practices at 6100 Stratford Park Blvd, Knoxville, TN 37912. The listed phone number is (865) 237-9291.

What is Mofoluwasho Adenekan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mofoluwasho Adenekan enrolled in Medicare?

Yes. Mofoluwasho Adenekan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mofoluwasho Adenekan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mofoluwasho Adenekan reassigns Medicare benefits to 2 organizations: Advanced Wound Care Of North Texas PLLC (Dallas, TX) and Glc Wellness Center Texas LLC (Duncanville, TX). 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 Mofoluwasho Adenekan'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 Mofoluwasho Adenekan was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.