Individual provider Active NPI

Mojisola Adedoyin Ayorinde, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, IL
National Provider Identifier
1013611987
Registry record updated Apr 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209027094 Issued in IL
Practice address
2450 Ridge Ave
Aurora, IL 60504-6038
Phone
(815) 814-4293
NPI assigned
Mar 27, 2023
Last updated
Apr 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.464335 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209027094 IL Primary

Addresses

Primary practice location

2450 Ridge Ave
Aurora, IL 60504-6038

Mailing address

2450 Ridge Ave
Aurora, IL 60504-6038
Phone (815) 814-4293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231013002598 IL Practitioner - Nurse Practitioner 4183079965 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rosecrance IncGroup PAC ID 3779656582, 33 clinicians

Practice addresses (Care Compare)

1601 N University Dr
Rockford, IL 61107-5317
Phone (815) 387-2500

2302 Moreland Blvd
Champaign, IL 61822-1398
Phone (815) 391-1000

2704 N Main St
Rockford, IL 61103-3112
Phone (815) 332-8003

801 N Walnut St
Champaign, IL 61820-3055
Phone (217) 373-2430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041.464335ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rosecrance Inc Current Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Feb 7, 2025 Accepting new patients
Bethmia Foundation Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Rosecrance Inc CurrentSince Oct 22, 2024 Accepting new patients
Mathers Recovery LLC CurrentSince Sep 8, 2023 Accepting new patients
Rosecrance Inc CurrentSince Oct 22, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 6, 2023 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Mathers Recovery LLC CurrentSince Sep 8, 2023 Accepting new patients

Locations

332 S Michigan Ave
Chicago, IL 60604
Phone (773) 633-7479

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

145 S Virginia St
Crystal Lake, IL 60014
Phone (815) 397-7654

420 Airport Rd
Ste C
Elgin, IL 60123
Phone (815) 444-9999

17516 E Carriageway Dr
Ste B
Hazel Crest, IL 60429
Phone (630) 849-8787

1021 N Mulford Rd
Rockford, IL 61107
Phone (815) 387-5600

1601 University Dr
Rockford, IL 61107
Phone (815) 387-2500

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680912000000",
    "number": "1013611987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 RIDGE AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605046038",
            "telephone_number": "815-814-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 RIDGE AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605046038",
            "telephone_number": "815-814-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYORINDE",
        "first_name": "MOJISOLA",
        "middle_name": "ADEDOYIN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-04-08",
        "certification_date": "2023-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.464335",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209027094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.