ADESOLA IZASOMEH PMHNP
NPI 1720701261
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Q: What is Adesola Izasomeh's NPI number?

The NPI number for Adesola Izasomeh is 1720701261. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Q: What is Adesola Izasomeh's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Adesola Izasomeh was last updated on November 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 20, 2022PECOS Enrolled

65.57/100

CMS Quality Rating

9132 W HUBBELL ST, PHOENIX, AZ 85037(480) 725-8601 Get Directions Write a Review

NPPES record last updated: November 9, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 9, 2022, Sep 20, 2022 (2 updates tracked since 2022).

On this page

About Adesola Izasomeh Pmhnp NPPES

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

ADESOLA IZASOMEH PMHNP (NPI 1720701261) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (280100) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720701261

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameADESOLA IZASOMEHCredential: PMHNP

Location Address9132 W HUBBELL STPhoenix, AZ 85037-4377

Mailing Address1500 N Priest DrTempe, AZ 85288-1213 · (833) 719-0886

Phone(480) 725-8601

Sole ProprietorNo

Enumeration DateSeptember 20, 2022

Last NPPES UpdateNovember 9, 20222 updates tracked since enumeration

NPPES CertifiedNovember 9, 2022

✔ NPI 1720701261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · 280100

9132 W HUBBELL ST, Phoenix, AZ 85037

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adesola Izasomeh Pmhnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85037 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.

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.

65.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

33.44

Promoting Interoperability

Improvement Activities

Cost

92.63

Other Providers at the Same Location NPPES

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

VICTORY HEALTH HOME PLLC

Community Based Residential Treatment Facility, Mental Illness

9132 W HUBBELL ST
PHOENIX, AZ 85037

Maricopa County (407) 738-5791

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 Adesola Izasomeh's NPI number?

The NPI number for Adesola Izasomeh is 1720701261. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Adesola Izasomeh located?

Adesola Izasomeh practices at 9132 W Hubbell St, Phoenix, AZ 85037. The listed phone number is (480) 725-8601.

What is Adesola Izasomeh's specialty?

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

Is Adesola Izasomeh enrolled in Medicare?

Yes. Adesola Izasomeh is registered in the Medicare PECOS enrollment system.

What insurance does Adesola Izasomeh accept?

Health plans from Antidote Health Plan of Arizona, Inc. list Adesola Izasomeh 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 Adesola Izasomeh was last updated on November 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.