1. Home
  2. Directory
  3. Illinois
  4. Naperville
  5. Nurse Practitioner
  6. NPI Profile

AGNES DZIFA ADJORLOLO
NPI 1902741218
Nurse Practitioner - Psychiatric/Mental Health in Naperville, IL

Active since April 22, 2026PECOS Enrolled
4619 NISWENDER CT, NAPERVILLE, IL 60564(630) 362-1784 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2026, Apr 22, 2026 (2 updates tracked since 2026).

About Agnes Dzifa Adjorlolo NPPES

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

AGNES DZIFA ADJORLOLO (NPI 1902741218) is an individual psychiatric/mental health provider in Naperville, Illinois, licensed in Illinois (209.035608) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1902741218
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAGNES DZIFA ADJORLOLO
Location Address4619 NISWENDER CTNaperville, IL 60564-5861
Mailing Address4619 Niswender CtNaperville, IL 60564-5861 · (630) 362-1784
Phone(630) 362-1784
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 22, 2026
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1902741218 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 IL · 209.035608
4619 NISWENDER CT, Naperville, IL 60564
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agnes Dzifa Adjorlolo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820555154
PECOS Enrollment IDI20260806003145
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 Agnes Adjorlolo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
768 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 60564 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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 Agnes Adjorlolo's NPI number?

The NPI number for Agnes Adjorlolo is 1902741218. It was assigned to this individual provider in the NPPES registry on April 22, 2026.

Where is Agnes Adjorlolo located?

Agnes Adjorlolo practices at 4619 Niswender Ct, Naperville, IL 60564. The listed phone number is (630) 362-1784.

What is Agnes Adjorlolo's specialty?

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

Is Agnes Adjorlolo enrolled in Medicare?

Yes. Agnes Adjorlolo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Agnes Adjorlolo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Agnes Adjorlolo reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Agnes Adjorlolo'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 Agnes Adjorlolo was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.