1. Home
  2. Directory
  3. New York
  4. Staten Island
  5. Nurse Practitioner
  6. NPI Profile

ADEWUNMI JULIUS BANKOLE NURSE PRACTITIONER
NPI 1912453788
Nurse Practitioner - Psychiatric/Mental Health in Staten Island, NY

Active since August 31, 2016PECOS EnrolledAccepts Medicare Assignment
66.8/100
CMS Quality Rating
261 MERRYMOUNT ST, STATEN ISLAND, NY 10314(347) 855-1908 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 3, 2023, Apr 14, 2022, Apr 9, 2022 and 2 more (5 updates tracked since 2016).

About Adewunmi Julius Bankole Nurse Practitioner NPPES

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

ADEWUNMI JULIUS BANKOLE NURSE PRACTITIONER (NPI 1912453788) is an individual psychiatric/mental health provider in Staten Island, New York, licensed in New Jersey (26NJ01131600) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Newark, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1912453788
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameADEWUNMI JULIUS BANKOLECredential: NURSE PRACTITIONER
Location Address261 MERRYMOUNT STStaten Island, NY 10314-4850
Mailing Address261 Merrymount StStaten Island, NY 10314-4850 · (347) 855-1908
Phone(347) 855-1908
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 31, 2016
Last NPPES UpdateApril 3, 20235 updates tracked since enumeration
NPPES CertifiedApril 3, 2023
✔ NPI 1912453788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NJ · 26NJ01131600✔ Licensed in NY · F403449
Also ListedRegistered NurseTaxonomy 163W00000X · License 710835 (NY)
261 MERRYMOUNT ST, Staten Island, NY 10314
Open in Google Maps ↗

Secondary Practice Location 1

Location 1550 Broad St Ste 606Newark, NJ 07102-4537 · Phone (201) 822-1161 · Fax (877) 485-8918

Other Identifiers 1

Medicaid0899062NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adewunmi Julius Bankole Nurse Practitioner 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 ID840690459
PECOS Enrollment IDI20210617002200
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
96 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10314 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

66.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.27
Promoting Interoperability0.55
Improvement Activities40

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 Adewunmi Bankole's NPI number?

The NPI number for Adewunmi Bankole is 1912453788. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Where is Adewunmi Bankole located?

Adewunmi Bankole practices at 261 Merrymount St, Staten Island, NY 10314. The listed phone number is (347) 855-1908.

What is Adewunmi Bankole's specialty?

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

Is Adewunmi Bankole enrolled in Medicare?

Yes. Adewunmi Bankole 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.

What insurance does Adewunmi Bankole accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Adewunmi Bankole 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 Adewunmi Bankole was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.