Individual provider Active NPI

Adam Oluwaseun Jenrola, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1235880709
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61678102 Issued in WA
Practice address
522 W Riverside Ave Ste N
Spokane, WA 99201-0581
Phone
(919) 938-7558
Fax
(919) 934-7554
NPI assigned
Jan 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61678102 WA Primary

Addresses

Primary practice location

522 W Riverside Ave Ste N
Spokane, WA 99201-0581

Mailing address

522 W Riverside Ave Ste N
Spokane, WA 99201-0581
Phone (206) 867-5900

Other identifiers 1

IdentifierTypeStateIssuer
1235880709MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ajenrola1023563@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WA2 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

Enrollment IDStateProvider typePAC IDDetails
I20220322002448 NC Practitioner - Nurse Practitioner 5092100404 Reassigns benefits to 5 organizations
I20250630000746 WA Practitioner - Nurse Practitioner 5092100404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brynn Marr Hospital, Inc.Group PAC ID 7113836958, 8 clinicians

Practice addresses (Care Compare)

192 Village Dr
Jacksonville, NC 28546-7238
Phone (910) 577-1400

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
62.03
Promoting interoperability
99
Improvement activities
40
Cost
78.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61678102WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Jun 2, 2025 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Unc Physicians Network LLC CurrentSince Mar 17, 2025 Accepting new patients
Nutrans Health LLC CurrentSince Aug 29, 2024 Accepting new patients
NHCS Physicians Inc CurrentSince Jul 11, 2023 Accepting new patients
Freedom House Recovery Center, Inc. CurrentSince Mar 10, 2022 Accepting new patients
Freedom House Recovery Center, Inc. Current Accepting new patients
Brynn Marr Hospital Inc CurrentSince Oct 1, 2025 Accepting new patients
Freedom House Recovery Center, Inc. CurrentSince Mar 10, 2022 Accepting new patients

Locations

104 New Stateside Dr
Chapel Hill, NC 27516
Phone (833) 800-1505

118 New Stateside Dr
Chapel Hill, NC 27516
Phone (833) 800-1505

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

3440 Toringdon Way
Ste 205
Charlotte, NC 28277
Phone (980) 375-6657

192 Village Dr
Jacksonville, NC 28546
Phone (910) 577-1400

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

5109 Hollyridge Dr
Ste 103
Raleigh, NC 27612
Phone (844) 748-8443

123 Sunnybrook Rd
Ste 140
Raleigh, NC 27610
Phone (919) 250-0580

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

2301 Medpark Dr
Ste B
Rocky Mount, NC 27804
Phone (252) 962-5000

509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

101 Elliott Ave W
Ste 500
Seattle, WA 98119
Phone (206) 708-6432

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

201 W North River Dr
Ste 301
Spokane, WA 99201
Phone (509) 496-0724

Interoperability endpoints

  • Direct secure messaging: ajenrola1023563@direct.unc.nchie.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1235880709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE STE N",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010581",
            "telephone_number": "206-867-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE STE N",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010581",
            "telephone_number": "919-938-7558",
            "fax_number": "919-934-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENROLA",
        "first_name": "ADAM",
        "middle_name": "OLUWASEUN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-15",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61678102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235880709",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajenrola1023563@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "509 N Brightleaf Blvd",
            "city": "Smithfield",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275774407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.