Adelola Adekunle, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Morton, PA

NPI 1386227262 · NPPES record last updated Apr 29, 2021

Key facts

NPI
1386227262
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
SP023330 (PA)
Practice address
2210 Franklin Ave
Morton, PA 19070-1219
Phone
(484) 477-6262
NPI assigned
Apr 29, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holcomb Associates Inc (18 clinicians)

Practice addresses (Care Compare)

225 S 69TH St
Upper Darby, PA 19082-4212
Phone (610) 352-8943

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220224003020 PA Practitioner - Nurse Practitioner 2860886496 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holcomb Behavioral Health Systems Current
since Jan 1, 2022
Accepting new patients
Holcomb Associates, Inc. Single Specialty Current Accepting new patients
Holcomb Associates, Inc Current
since Jan 1, 2022
Accepting new patients
Holcomb Associates, Inc. Past Accepting new patients

Locations

929 Northampton St
Easton, PA 18042
Phone (610) 330-9862

467 Creamery Way
Exton, PA 19341
Phone 61036314882136

920 E Baltimore Pike
Kennett Square, PA 19348
Phone (610) 388-7400

920 E Baltimore Pike
#200
Kennett Square, PA 19348
Phone (610) 388-7400

225 S 69th St
Upper Darby, PA 19082
Phone (610) 352-8943

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LF0000X SP023330 PA Yes

Addresses

Primary practice location

2210 Franklin Ave
Morton, PA 19070-1219

Mailing address

2210 Franklin Ave
Morton, PA 19070-1219
Phone (484) 477-6262

Other providers in Morton, PA

All providers in Morton, PA · Family Nurse Practitioner in Pennsylvania

Sources for this page

Verify at the official NPI Registry.