TOLULOPE ADETOBA
NPI 1871307611
Nurse Practitioner in Breese, IL
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 and is a graduate of Southern Illinois University School Of Medicine (2026).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tolulope Adetoba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Tolulope Adetoba reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Breese, IL 62230
- Reassigned Medicare billing, Illinois enrollment
- 54 clinicians in this Medicare group
Pana, IL 62557
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Hshs Medical Group Inc
- 317 clinicians in this Medicare group
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 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.
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.
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.
Which organizations bill Medicare for Tolulope Adetoba's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tolulope Adetoba reassigns Medicare benefits to 2 organizations: St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde (Breese, IL) and Sjl Health Systems Inc (Pana, IL). 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 Tolulope Adetoba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tolulope Adetoba accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Tolulope Adetoba 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 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 2 months 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.
# Tolulope Adetoba · NPI 1871307611
Nurse Practitioner physician in Breese, Illinois. Individual provider, active in the CMS NPPES registry since February 3, 2025.
## Identity
- **NPI:** 1871307611 (Entity type: Individual)
- **Enumerated:** February 3, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209035968 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 9401 HOLY CROSS LN, Breese, IL 62230-3510
- **Phone:** (618) 526-7271
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde (NPI 1013002658, Breese, IL); Sjl Health Systems Inc (NPI 1215037353, Pana, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern Illinois University School Of Medicine, class of 2026
## Record status
- **NPPES last updated:** September 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1871307611) · Data from the CMS NPPES public registry.