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BAMIDELE OMOWUMI AGADA NURSE PRACTITIONER
NPI 1467921122
Nurse Practitioner - Psychiatric/Mental Health in Laurelton, NY

Active since November 24, 2018PECOS EnrolledAccepts Medicare Assignment
13528 231ST ST, LAURELTON, NY 11413(646) 331-9356 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Bamidele Omowumi Agada Nurse Practitioner NPPES

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

BAMIDELE OMOWUMI AGADA NURSE PRACTITIONER (NPI 1467921122) is an individual psychiatric/mental health provider in Laurelton, New York, licensed in New York (F405177) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with St John's Episcopal Hospital At South Shore, and is a graduate of Birmingham Medical College (2023).

NPPES Registry Identity

NPI1467921122
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBAMIDELE OMOWUMI AGADACredential: NURSE PRACTITIONER
Location Address13528 231ST STLaurelton, NY 11413-2532
Mailing Address327 Beach 19th StFar Rockaway, NY 11691-4423 · (718) 869-7248
Phone(646) 331-9356
Sole ProprietorNo
Medical School CMSBirmingham Medical CollegeGraduated 2023
Enumeration DateNovember 24, 2018
Last NPPES UpdateFebruary 2, 2024
NPPES CertifiedFebruary 2, 2024
✔ NPI 1467921122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F405177
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 569577-1 (NY)
13528 231ST ST, Laurelton, NY 11413
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Other Names 1

Professional Name (2)Bamidele Omowumi Agada Rn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Bamidele Omowumi Agada 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.

PECOS PAC ID5294179230
PECOS Enrollment IDI20240219001586
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St John's Episcopal Hospital At South Shore

Acute Care Hospitals · Far Rockaway, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330395
Location327 Beach 19th StreetFar Rockaway, NY 11691 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11413 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 Bamidele Agada's NPI number?

The NPI number for Bamidele Agada is 1467921122. It was assigned to this individual provider in the NPPES registry on November 24, 2018. The provider is also known as Bamidele Omowumi Agada Rn.

Where is Bamidele Agada located?

Bamidele Agada practices at 13528 231st St, Laurelton, NY 11413. The listed phone number is (646) 331-9356.

What is Bamidele Agada's specialty?

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

Is Bamidele Agada enrolled in Medicare?

Yes. Bamidele Agada 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 Bamidele Agada accept?

Health plans from Providence Health Plan list Bamidele Agada 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.

Is Bamidele Agada affiliated with any hospitals?

According to CMS data, Bamidele Agada is affiliated with St John's Episcopal Hospital At South Shore.

When was this NPI record last updated?

The NPPES record for Bamidele Agada was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.