Individual provider Active NPI

Nkechi Ileka-Adeoye, MSN, CRNP, ANP-BC

  • Adult Health Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1285974451
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R162273 Issued in MD
Practice address
174 Thomas Johnson Dr Ste 203L
Frederick, MD 21702-4423
Phone
(301) 966-7610
Fax
(301) 966-7611
NPI assigned
Feb 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R162273 MD Primary

Addresses

Primary practice location

174 Thomas Johnson Dr Ste 203L
Frederick, MD 21702-4423

Mailing address

174 Thomas Johnson Dr Ste 203L
Frederick, MD 21702-4423
Phone (301) 966-7610

Other identifiers 1

IdentifierTypeStateIssuer
824702100MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Info@mydivinecareservices.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130618000498 DC Practitioner - Nurse Practitioner 5991944217 Reassigns benefits to 2 organizations
I20170614000159 MD Practitioner - Nurse Practitioner 5991944217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

1050 Key Pkwy
Suite 102
Frederick, MD 21702-4496
Phone (240) 215-1138

110 Baughmans LN
Suite 140
Frederick, MD 21702-4649
Phone (240) 215-1138

174 Thomas Johnson Dr
Suite 203L
Frederick, MD 21702-4423
Phone (301) 966-7610

30 Courthouse SQ
Suite G1
Rockville, MD 20850-2302
Phone (301) 523-7456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R162273MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC CurrentSince Oct 3, 2018 Accepting new patients
Privia Care Center LLC CurrentSince Oct 3, 2018 Accepting new patients
Divine Care Services, LLC CurrentSince Mar 17, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 8, 2017 Accepting new patients
Menocal Medical Services PA Current Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 8, 2017 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

174 Thomas Johnson Dr
Ste 203L
Frederick, MD 21702
Phone (301) 966-7610

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

170 Thomas Johnson Dr
Ste 201L
Frederick, MD 21702

13204 Fountain Head Plz
Hagerstown, MD 21742
Phone (240) 215-1138

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

30 Courthouse Sq
Ste G1
Rockville, MD 20850
Phone (301) 523-7456

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ileka-adeoye_nkechi@77cd1ec6.micromddirect.com
  • FHIR API: https://api.platform.athenahealth.com/26131/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1285974451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 THOMAS JOHNSON DR STE 203L",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024423",
            "telephone_number": "301-966-7610",
            "fax_number": "301-966-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 THOMAS JOHNSON DR STE 203L",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024423",
            "telephone_number": "301-966-7610",
            "fax_number": "301-966-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILEKA-ADEOYE",
        "first_name": "NKECHI",
        "credential": "MSN, CRNP, ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R162273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "824702100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Info@mydivinecareservices.com",
            "affiliation": "N",
            "address_1": "174 Thomas Johnson Dr Ste 203L",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217024423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.