ADETIMBO ADEDIRAN CRNP
NPI 1679922298
Nurse Practitioner - Psychiatric/Mental Health in Owings Mills, MD

Active since June 04, 2016PECOS EnrolledAccepts Medicare Assignment
9435 PARAGON CT, OWINGS MILLS, MD 21117(240) 722-9763 Get Directions Write a Review

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

Record update history: Mar 18, 2026, Nov 18, 2023, Nov 24, 2020 (3 updates tracked since 2020).

About Adetimbo Adediran Crnp NPPES

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

ADETIMBO ADEDIRAN CRNP (NPI 1679922298) is an individual psychiatric/mental health provider in Owings Mills, Maryland, licensed in Maryland (R194824) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Medstar Southern Maryland Hospital Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679922298
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameADETIMBO ADEDIRANCredential: CRNP
Location Address9435 PARAGON CTOwings Mills, MD 21117-1408
Mailing Address9435 Paragon CtOwings Mills, MD 21117-1408 · (240) 722-9763
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 4, 2016
Last NPPES UpdateMarch 18, 20263 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1679922298 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 MD · R194824
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R194854 (MD)
9435 PARAGON CT, Owings Mills, MD 21117

Secondary Practice Locations 2

Location 17503 Surratts RdClinton, MD 20735-3358 · Phone (202) 360-4787 · Fax (202) 360-4787
Location 211236 Robinwood Dr, Suite 101Hagerstown, MD 21742-6708 · Phone (240) 313-4242

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

Adetimbo Adediran Crnp 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 ID4082902937
PECOS Enrollment IDI20161011000053, I20161011000913
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

9

Medicare enrollment records show Adetimbo Adediran reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
210 BUSINESS CENTER DR
Reisterstown, MD 21136
  • Reassigned Medicare billing, Maryland enrollment
  • 6 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
940 MADISON AVE STE 202
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 5 clinicians in this Medicare group
Psychiatry
10320 LITTLE PATUXENT PKWY STE 200
Columbia, MD 21044
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 200 clinicians in this Medicare group
Internal Medicine
6934 AVIATION BLVD, SUITE B
Glen Burnie, MD 21061
  • Reassigned Medicare billing, District of Columbia enrollment
  • 136 clinicians in this Medicare group
Psychiatry
8040 GEORGIA AVE STE 170
Silver Spring, MD 20910
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 128 clinicians in this Medicare group
Psychiatry
8181 PROFESSIONAL PL STE 150&200
Landover, MD 20785
  • Reassigned Medicare billing, District of Columbia enrollment
  • 17 clinicians in this Medicare group
Geriatric Medicine
11974 EDGEHILL TERRACE RD
Princess Anne, MD 21853
  • Reassigned Medicare billing, New York enrollment
  • 325 clinicians in this Medicare group
Geriatric Medicine
420 DEAN DR
Gardendale, AL 35071
  • Reassigned Medicare billing, District of Columbia enrollment
  • 106 clinicians in this Medicare group
Internal Medicine
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Maryland enrollment
  • 116 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
41 services19 patients

Hospital Affiliations CMS Care Compare

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

Medstar Southern Maryland Hospital Center

Acute Care Hospitals · Clinton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210062
Location7503 Surratts RoadClinton, MD 20735 · Prince Georges County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21117 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 Adetimbo Adediran's NPI number?

The NPI number for Adetimbo Adediran is 1679922298. It was assigned to this individual provider in the NPPES registry on June 4, 2016.

Where is Adetimbo Adediran located?

Adetimbo Adediran practices at 9435 Paragon Ct, Owings Mills, MD 21117. The listed phone number is (240) 722-9763.

What is Adetimbo Adediran's specialty?

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

Is Adetimbo Adediran enrolled in Medicare?

Yes. Adetimbo Adediran 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 Adetimbo Adediran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adetimbo Adediran reassigns Medicare benefits to 9 organizations: Victory Springs, Inc (Reisterstown, MD), Parker Psychiatric Services, Incorporated (Baltimore, MD), Psychogeriatric Services LLC (Columbia, MD), Mdics Rehabilitative Services LLC (Glen Burnie, MD), Axis Healthcare Group (Silver Spring, MD) and 4 more organizations, listed in the Medicare section above. 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 Adetimbo Adediran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Adetimbo Adediran affiliated with any hospitals?

According to CMS data, Adetimbo Adediran is affiliated with Medstar Southern Maryland Hospital Center.

When was this NPI record last updated?

The NPPES record for Adetimbo Adediran was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.