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TAJUDEEN ADEBAYO KOLAWOLE MBBS, MPH, CRNP
NPI 1861091191
Nurse Practitioner - Psychiatric/Mental Health in Chester, PA

Active since October 19, 2020PECOS Enrolled
1 MEDICAL CENTER BLVD STE 407, CHESTER, PA 19013(610) 619-7413(610) 874-7241 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tajudeen Adebayo Kolawole Mbbs, Mph, Crnp NPPES

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

TAJUDEEN ADEBAYO KOLAWOLE MBBS, MPH, CRNP (NPI 1861091191) is an individual psychiatric/mental health provider in Chester, Pennsylvania, licensed in Pennsylvania (SP022671) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861091191
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTAJUDEEN ADEBAYO KOLAWOLECredential: MBBS, MPH, CRNP
Location Address1 MEDICAL CENTER BLVD STE 407Chester, PA 19013-3902
Mailing Address1 Medical Center Blvd Ste 407Chester, PA 19013-3902 · (610) 619-7413 · Fax (610) 874-7241
Phone(610) 619-7413
Fax(610) 874-7241
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 19, 2020
NPPES CertifiedOctober 19, 2020
✔ NPI 1861091191 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 PA · SP022671
1 MEDICAL CENTER BLVD STE 407, Chester, PA 19013
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tajudeen Adebayo Kolawole Mbbs, Mph, Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870904584
PECOS Enrollment IDI20201202001173
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

2

Medicare enrollment records show Tajudeen Kolawole reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prospect Health Access Network, Inc.
Same address
Diagnostic Radiology
1 MEDICAL CENTER BLVD
Chester, PA 19013
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 654 clinicians in this Medicare group
NPI 1154776797 (302) 477-9660
Centralized Comprehensive Human Services, Inc.
13 mi
Community/Behavioral Health
112 N BROAD ST, RM 821
Philadelphia, PA 19102
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 6 clinicians in this Medicare group
NPI 1942359120 (215) 568-0622

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 19013 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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

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

ANDREW EMANUEL FORTNEY CRNP
Nurse Practitioner
1 MEDICAL CENTER BLVD STE 407
CHESTER, PA 19013
Delaware County (610) 874-5257

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 Tajudeen Kolawole's NPI number?

The NPI number for Tajudeen Kolawole is 1861091191. It was assigned to this individual provider in the NPPES registry on October 19, 2020.

Where is Tajudeen Kolawole located?

Tajudeen Kolawole practices at 1 Medical Center Blvd Ste 407, Chester, PA 19013. The listed phone number is (610) 619-7413.

What is Tajudeen Kolawole's specialty?

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

Is Tajudeen Kolawole enrolled in Medicare?

Yes. Tajudeen Kolawole is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tajudeen Kolawole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tajudeen Kolawole reassigns Medicare benefits to 2 organizations: Prospect Health Access Network, Inc. (Chester, PA) and Centralized Comprehensive Human Services, Inc. (Philadelphia, PA). 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 Tajudeen Kolawole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tajudeen Kolawole accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Tajudeen Kolawole 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 Tajudeen Kolawole was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.