Aderonke Abimbola Abatan

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AG4210049 Issued in MD

Practice address

1952 Pawlet Dr
Crofton, MD 21114-1687

Phone

(301) 256-8987

NPI assigned

May 16, 2021

Last updated

May 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-South Home Care Services LLCGroup PAC ID 4385961093, shared by 13 NPIs, 101 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Assured Access Medical Associates Inc.

  • General Practice Physician
  • Greenbelt, MD
  • NPI 1720623242

  DC

  Medicare reassignment NPD
• Mid-South Home Care Services, LLC

  dba Empatia Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Windsor Mill, MD
  • NPI 1992586408
  Medicare reassignment NPD
• Mid-South Home Care Services, LLC

  dba Empatia Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Fairfax, VA
  • NPI 1326829821

  DC

  Medicare reassignment NPD
• Innovate Healthcare and Allied Services

  • Family Medicine Physician
  • Crofton, MD
  • NPI 1063234342
  NPD Authorized official
• Mid-South Home Care Services, LLC

  dba Empatia Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Alpharetta, GA
  • NPI 1154207769
  NPD

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

{
    "created_epoch": "1621123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621123200000",
    "number": "1174197040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 PAWLET DR",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141687",
            "telephone_number": "301-256-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 PAWLET DR",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141687",
            "telephone_number": "301-256-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABATAN",
        "first_name": "ADERONKE",
        "middle_name": "ABIMBOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-16",
        "last_updated": "2021-05-16",
        "certification_date": "2021-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "AG4210049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 2131 Davidsonville Opco, LLC
• 3G Health LLC
• A Balanced Perspective LLC
• A New Way Clinic Inc
• ABA by the Bay LLC
• Aceline Healthcare Services Inc
• Henry Adjei Achampong, MD
• Acorn Health of Maryland
• Acupuncture by Sarah Damiani LLC
• Chelsea Adams-Cook

• Gerontology Nurse Practitioner in Crofton, MD
• Providers in Crofton, MD by specialty
• Gerontology Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.