OLUKEMI ADEKUNLE
NPI 1649886383
Nurse Practitioner - Family in Fernandina Beach, FL

Active since September 18, 2020PECOS Enrolled
77.4/100
CMS Quality Rating
97178 HARBOR CONCOURSE CIR, FERNANDINA BEACH, FL 32034(904) 491-5582 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Olukemi Adekunle NPPES

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

OLUKEMI ADEKUNLE (NPI 1649886383) is an individual family provider in Fernandina Beach, Florida, licensed in Florida (APRN11009163) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649886383
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameOLUKEMI ADEKUNLE
Location Address97178 HARBOR CONCOURSE CIRFernandina Beach, FL 32034-3873
Mailing Address97178 Harbor Concourse CirFernandina Beach, FL 32034-3873 · (904) 491-5582
Sole ProprietorYes
Enumeration DateSeptember 18, 2020
NPPES CertifiedSeptember 18, 2020
✔ NPI 1649886383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11009163
97178 HARBOR CONCOURSE CIR, Fernandina Beach, FL 32034

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olukemi Adekunle 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 Olukemi Adekunle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, Florida enrollment
  • 517 clinicians in this Medicare group
Clinical
21 NEWWOOD HILLS AVE
Lakewood, NJ 08701
  • Reassigned Medicare billing, Florida enrollment
  • 22 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32034 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

77.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.24
Improvement Activities40
Cost59.06

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 Olukemi Adekunle's NPI number?

The NPI number for Olukemi Adekunle is 1649886383. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Where is Olukemi Adekunle located?

Olukemi Adekunle practices at 97178 Harbor Concourse Cir, Fernandina Beach, FL 32034. The listed phone number is (904) 491-5582.

What is Olukemi Adekunle's specialty?

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

Is Olukemi Adekunle enrolled in Medicare?

Yes. Olukemi Adekunle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Olukemi Adekunle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olukemi Adekunle reassigns Medicare benefits to 2 organizations: Minuteclinic LLC (Rockville, MD) and Rhodium Care Group Florida PA (Lakewood, NJ). 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 Olukemi Adekunle'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 Olukemi Adekunle was last updated on September 18, 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.