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MRS. EGBE BENEDICTA ADEKUNLE-MOSES I
NPI 1851759302
Licensed Practical Nurse in Hyde Park, MA

Active since January 28, 2016PECOS EnrolledAccepts Medicare Assignment
229 HEBRON ST, HYDE PARK, MA 02136(857) 544-9755 Get Directions Write a Review

NPPES record last updated: January 28, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Egbe Benedicta Adekunle-moses I NPPES

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

MRS. EGBE BENEDICTA ADEKUNLE-MOSES I (NPI 1851759302) is an individual licensed practical nurse in Hyde Park, Massachusetts, licensed in Massachusetts (LN90968) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1851759302
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. EGBE BENEDICTA ADEKUNLE-MOSES I
Location Address229 HEBRON STHyde Park, MA 02136-6201
Mailing Address229 Hebron StHyde Park, MA 02136-6201 · (857) 544-9755
Phone(857) 544-9755
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 28, 2016
✔ NPI 1851759302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MA · LN90968
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedHome Health AideTaxonomy 374U00000X
229 HEBRON ST, Hyde Park, MA 02136
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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

Mrs. Egbe Benedicta Adekunle-moses I 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 ID8426521345
PECOS Enrollment IDI20260623001800
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 Egbe Adekunle-moses reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Health Services, LLC
25 mi
Mental Health (Including Community Mental Health Center)
30 TAUNTON GREEN, SUITE 5
Taunton, MA 02780
  • Reassigned Medicare billing, Massachusetts enrollment
  • 689 clinicians in this Medicare group
NPI 1225067481 (508) 880-6666

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

REVIVAL HEALTH CARE
Nursing Care
229 HEBRON ST
HYDE PARK, MA 02136
Suffolk County (857) 260-7441

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 Egbe Adekunle-moses's NPI number?

The NPI number for Egbe Adekunle-moses is 1851759302. It was assigned to this individual provider in the NPPES registry on January 28, 2016.

Where is Egbe Adekunle-moses located?

Egbe Adekunle-moses practices at 229 Hebron St, Hyde Park, MA 02136. The listed phone number is (857) 544-9755.

What is Egbe Adekunle-moses's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Is Egbe Adekunle-moses enrolled in Medicare?

Yes. Egbe Adekunle-moses 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 organization bills Medicare for Egbe Adekunle-moses's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Egbe Adekunle-moses reassigns Medicare benefits to Northeast Health Services, LLC (Taunton, MA). 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 Egbe Adekunle-moses's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Egbe Adekunle-moses was last updated on January 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.