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LATIF ADEYEMI MUSTAPHA NP
NPI 1700473600
Nurse Practitioner - Gerontology in Avondale, AZ

Active since December 25, 2020PECOS Enrolled
12025 W APACHE ST, AVONDALE, AZ 85323(623) 241-2084 Get Directions Write a Review

NPPES record last updated: December 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Latif Adeyemi Mustapha Np NPPES

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

LATIF ADEYEMI MUSTAPHA NP (NPI 1700473600) is an individual gerontology provider in Avondale, Arizona, licensed in Arizona (250957) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700473600
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameLATIF ADEYEMI MUSTAPHACredential: NP
Location Address12025 W APACHE STAvondale, AZ 85323-8220
Mailing Address12025 W Apache StAvondale, AZ 85323-8220 · (623) 241-2084
Phone(623) 241-2084
Sole ProprietorNo
Enumeration DateDecember 25, 2020
NPPES CertifiedDecember 22, 2020
✔ NPI 1700473600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in AZ · 250957
12025 W APACHE ST, Avondale, AZ 85323
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latif Adeyemi Mustapha Np 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 Reassignment

Medicare enrollment records show Latif Mustapha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health, LLC
897 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arizona enrollment
  • 556 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 85323 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 Latif Mustapha's NPI number?

The NPI number for Latif Mustapha is 1700473600. It was assigned to this individual provider in the NPPES registry on December 25, 2020.

Where is Latif Mustapha located?

Latif Mustapha practices at 12025 W Apache St, Avondale, AZ 85323. The listed phone number is (623) 241-2084.

What is Latif Mustapha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Latif Mustapha enrolled in Medicare?

Yes. Latif Mustapha is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Latif Mustapha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latif Mustapha reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). The 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 Latif Mustapha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Latif Mustapha accept?

Health plans from Imperial Insurance Companies, Inc. list Latif Mustapha 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.

When was this NPI record last updated?

The NPPES record for Latif Mustapha was last updated on December 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.