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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TOLULOPE ADETOBA
NPI 1871307611
Nurse Practitioner in Breese, IL

Active since February 03, 2025PECOS Enrolled
9401 HOLY CROSS LN, BREESE, IL 62230(618) 526-7271 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 1, 2026, Jul 22, 2026, Feb 3, 2025 (3 updates tracked since 2025).

About Tolulope Adetoba NPPES

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

TOLULOPE ADETOBA (NPI 1871307611) is an individual nurse practitioner in Breese, Illinois, licensed in Illinois (209035968) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871307611
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTOLULOPE ADETOBA
Location Address9401 HOLY CROSS LNBreese, IL 62230-3510
Mailing Address9401 Holy Cross LnBreese, IL 62230-3510
Phone(618) 526-7271
Sole ProprietorNo
Enumeration DateFebruary 3, 2025
Last NPPES UpdateSeptember 1, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1871307611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209035968
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9401 HOLY CROSS LN, Breese, IL 62230
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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 (PECOS)

Tolulope Adetoba 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 62230 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 14

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

ROCH ANDRE LEFEBVRE M.D.
Family Medicine
9401 HOLY CROSS LN, SUITE 112
BREESE, IL 62230
Clinton County (618) 526-7271
DOUGLAS M. KUHL M.D.
Pediatrics
9401 HOLY CROSS LN, SUITE 112B
BREESE, IL 62230
Clinton County (618) 526-7271
AMY KATHLEEN KRAUSE PA
Physician Assistant
9401 HOLY CROSS LN, SUITE 112
BREESE, IL 62230
Clinton County (618) 526-7271
DR. BRETT LYNN HUTCHERSON D.O.
Family Medicine
9401 HOLY CROSS LN
BREESE, IL 62230
Clinton County (618) 526-7271
JONATHAN VAUGHN OSBORN M.D.
Family Medicine
9401 HOLY CROSS LN, SUITE 112
BREESE, IL 62230
Clinton County (618) 526-7271
MRS. AMBER LEIGH POETTKER PA-C
Physician Assistant
9401 HOLY CROSS LN, SUITE 112
BREESE, IL 62230
Clinton County (618) 526-7271
KATLYN HILMES
Nurse Practitioner
9401 HOLY CROSS LN
BREESE, IL 62230
Clinton County (618) 526-7271
FRED CHARLES BOCH LCSW
Social Worker (Clinical)
9401 HOLY CROSS LN, SUITE 112
BREESE, IL 62230
Clinton County (618) 526-7271

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 Tolulope Adetoba's NPI number?

The NPI number for Tolulope Adetoba is 1871307611. It was assigned to this individual provider in the NPPES registry on February 3, 2025.

Where is Tolulope Adetoba located?

Tolulope Adetoba practices at 9401 Holy Cross Ln, Breese, IL 62230. The listed phone number is (618) 526-7271.

What is Tolulope Adetoba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tolulope Adetoba enrolled in Medicare?

Yes. Tolulope Adetoba is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tolulope Adetoba was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.