MRS. GRACE TEMITOPE ADENIJI-ILESANMI FNP
NPI 1689920365
Nurse Practitioner - Family in Chattanooga, TN

Q: What is Grace Adeniji-ilesanmi's NPI number?

The NPI number for Grace Adeniji-ilesanmi is 1689920365. It was assigned to this individual provider in the NPPES registry on July 31, 2012.

Q: What is Grace Adeniji-ilesanmi's specialty?

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

Active since July 31, 2012PECOS EnrolledAccepts Medicare Assignment

1067 RIVERFRONT PKWY STE 201, CHATTANOOGA, TN 37402(423) 558-3111 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Grace Temitope Adeniji-ilesanmi Fnp NPPES

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

MRS. GRACE TEMITOPE ADENIJI-ILESANMI FNP (NPI 1689920365) is an individual family provider in Chattanooga, Tennessee, licensed in Tennessee (APN16731) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2012).

NPPES Registry Identity

NPI1689920365

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. GRACE TEMITOPE ADENIJI-ILESANMICredential: FNP

Location Address1067 RIVERFRONT PKWY STE 201Chattanooga, TN 37402-2222

Mailing Address1067 Riverfront Pkwy Ste 201Chattanooga, TN 37402-2222 · (423) 558-3111

Phone(423) 558-3111

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2012

Enumeration DateJuly 31, 2012

Last NPPES UpdateNovember 11, 2025

NPPES CertifiedNovember 11, 2025

✔ NPI 1689920365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · APN16731

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 150679 (TN)

1067 RIVERFRONT PKWY STE 201, Chattanooga, TN 37402

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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

Mrs. Grace Temitope Adeniji-ilesanmi Fnp 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 ID5799933974

PECOS Enrollment IDI20120912000795

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 37402 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRADLEY RAYFORD KEEL DO

Internal Medicine