MUTIAT AJIBADE NURSE PRACTITIONER
NPI 1407480155
Nurse Practitioner - Psychiatric/Mental Health in Phialdelphia, PA
About Mutiat Ajibade Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MUTIAT AJIBADE NURSE PRACTITIONER (NPI 1407480155) is an individual psychiatric/mental health provider in Phialdelphia, Pennsylvania, licensed in Pennsylvania (SP021594) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mutiat Ajibade Nurse Practitioner 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.
Medicare Billing Reassignments
4Medicare enrollment records show Mutiat Ajibade reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19143
- Reassigned Medicare billing, Pennsylvania enrollment
- 232 clinicians in this Medicare group
Philadelphia, PA 19123
- Reassigned Medicare billing, Pennsylvania enrollment
- 2 clinicians in this Medicare group
Drexel Hill, PA 19026
- Reassigned Medicare billing, Pennsylvania enrollment
- 654 clinicians in this Medicare group
Clarion, PA 16214
- Reassigned Medicare billing, Pennsylvania enrollment
- 142 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
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 19146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Mutiat Ajibade's NPI number?
The NPI number for Mutiat Ajibade is 1407480155. It was assigned to this individual provider in the NPPES registry on March 2, 2020.
Where is Mutiat Ajibade located?
Mutiat Ajibade practices at 1401 S. 31 Street, Phialdelphia, PA 19146. The listed phone number is (215) 925-2400.
What is Mutiat Ajibade's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mutiat Ajibade enrolled in Medicare?
Yes. Mutiat Ajibade 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 Mutiat Ajibade's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mutiat Ajibade reassigns Medicare benefits to 4 organizations: Greater Philadelphia Health Action Inc. (Philadelphia, PA), Essential Behavioral Health LLC (Philadelphia, PA), Prospect Health Access Network, Inc. (Drexel Hill, PA) and Eastern Pennsylvania Physician Alliance LLC (Clarion, PA). 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 Mutiat Ajibade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mutiat Ajibade accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mutiat Ajibade 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 Mutiat Ajibade was last updated on September 11, 2023. 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.
# Mutiat Ajibade, NURSE PRACTITIONER · NPI 1407480155
Psychiatric/Mental Health physician in Phialdelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 2, 2020.
## Identity
- **NPI:** 1407480155 (Entity type: Individual)
- **Enumerated:** March 2, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** SP021594 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1401 S. 31 STREET, Phialdelphia, PA 19146
- **Phone:** (215) 925-2400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Greater Philadelphia Health Action Inc. (NPI 1952356867, Philadelphia, PA); Essential Behavioral Health LLC (NPI 1811602535, Philadelphia, PA); Prospect Health Access Network, Inc. (NPI 1255786729, Drexel Hill, PA); Eastern Pennsylvania Physician Alliance LLC (NPI 1902440621, Clarion, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1407480155) · Data from the CMS NPPES public registry.