OLUWAFEMI A ADISA
NPI 1679087605
Nurse Practitioner in Anchorage, AK

Q: What is Oluwafemi Adisa's NPI number?

The NPI number for Oluwafemi Adisa is 1679087605. It was assigned to this individual provider in the NPPES registry on November 29, 2017.

Q: What is Oluwafemi Adisa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Oluwafemi Adisa was last updated on April 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 29, 2017PECOS Enrolled

3841 PIPER ST STE T100, ANCHORAGE, AK 99508(907) 561-3211(907) 561-4652 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 24, 2026, Apr 2, 2026, Jan 2, 2026 and 2 more (5 updates tracked since 2017).

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About Oluwafemi A Adisa NPPES

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

OLUWAFEMI A ADISA (NPI 1679087605) is an individual nurse practitioner in Anchorage, Alaska, licensed in Alaska (252458) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1679087605

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameOLUWAFEMI A ADISA

Location Address3841 PIPER ST STE T100Anchorage, AK 99508-4674

Mailing Address3841 Piper St Ste T100Anchorage, AK 99508-4674 · (907) 561-3211 · Fax (907) 561-4652

Phone(907) 561-3211

Fax(907) 561-4652

Sole ProprietorYes

Medical School CMSOtherGraduated 2026

Enumeration DateNovember 29, 2017

Last NPPES UpdateApril 24, 20265 updates tracked since enumeration

NPPES CertifiedApril 24, 2026

✔ NPI 1679087605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AK · 252458

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 188881 (AK)

3841 PIPER ST STE T100, Anchorage, AK 99508

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Secondary Practice Locations 2

Location 1670 W Fireweed Ln Ste 160Anchorage, AK 99503-2561 · Phone (907) 770-0862

Location 23125 E Meridian Park Loop Ste 200Wasilla, AK 99654-7528 · Phone (907) 561-3211 · Fax (907) 561-4652

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oluwafemi A Adisa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991272247

PECOS Enrollment IDI20260424000801

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99508 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

$111.57 typical visit price

range $71.33 – $222.64

Typical copayment $27.89 (range $17.83 – $55.66)

Most-billed visit code 99203

Established Patient

$128.73 typical visit price

range $21.84 – $181.48

Typical copayment $32.18 (range $5.46 – $45.37)

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.