Individual provider Active NPI

Ifeoluwa Adenike Amusan

  • Psychiatric/Mental Health Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1093676025
Registry record updated Dec 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
40235 Issued in TN
Practice address
9019 Overlook Blvd
Brentwood, TN 37027-2735
Phone
(615) 274-9767
NPI assigned
Nov 19, 2025
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iris Medical Group 82 clinicians

Practice addresses (Care Compare)

9019 Overlook Blvd
Suite C1B
Brentwood, TN 37027-2737
Phone (615) 274-9767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20251205004084 TN Practitioner - Nurse Practitioner 6002309192 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40235TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iris Medical Group CurrentSince Oct 1, 2025 Accepting new patients
Iris Wound Care, PC Past Accepting new patients

Locations

9019 Overlook Blvd
Ste C1B
Brentwood, TN 37027

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 40235 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

9019 Overlook Blvd
Brentwood, TN 37027-2735

Mailing address

9019 Overlook Blvd
Brentwood, TN 37027-2735
Phone (615) 274-9767

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 13, 2025.

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765584000000",
    "number": "1093676025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9019 OVERLOOK BLVD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272735",
            "telephone_number": "615-274-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9019 OVERLOOK BLVD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272735",
            "telephone_number": "615-274-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUSAN",
        "first_name": "IFEOLUWA",
        "middle_name": "ADENIKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "40235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.