Sijuola Noimot Adelekan, NP
Individual provider Active NPI Nurse Practitioner · Bridgeton, MO
NPI 1184579377 · NPPES record last updated Mar 3, 2026
Key facts
- NPI
- 1184579377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2005045251 (MO)
- Practice address
- 12303 De Paul Dr
Bridgeton, MO 63044-2512 - Phone
- (314) 344-6000
- NPI assigned
- Mar 3, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005045251 | MO | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2005045251 | MO | Yes |
Addresses
Primary practice location
12303 De Paul Dr
Bridgeton, MO 63044-2512
Mailing address
7 Behlmann Lake CT
Florissant, MO 63034-2862
Phone (314) 560-8347
Other providers in Bridgeton, MO
- Aissa Catherine Acelam
- Kailey Ackermann
- Patricia Ackermann
- Adonica Lynn Adams
- Sylvia P Adams
- Advanced Biomedical Solutions LLC
- Advanced Geriatric Management LLC
- Advanced Sight Center, Inc
- Advanced Wellness Chiropractic LLC
- Advantage Pain Management Inc
All providers in Bridgeton, MO · Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.