Aanuoluwapo Akinjagunla, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Salem, MA
NPI 1407516164 · NPPES record last updated Jun 29, 2023
Key facts
- NPI
- 1407516164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN2310797 (MA)
- Practice address
- 47 Congress St
Salem, MA 01970-7308 - Phone
- (978) 744-8388
- NPI assigned
- Dec 22, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Shore Community Health Inc
Practice addresses (Care Compare)
27 Congress St
Salem, MA 01970-5578
47 Congress St
Salem, MA 01970-7308
Phone (978) 744-8388
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231218000319 | MA | Practitioner - Nurse Practitioner | 5597114405 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2310797 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Community Health, Inc | Current |
Accepting new patients |
Locations
89 Foster St
Peabody, MA 01960
Phone (978) 532-4903
27 Congress St
Ste 513
Salem, MA 01970
Phone (978) 825-1175
47 Congress St
Salem, MA 01970
Phone (978) 744-8388
Interoperability endpoints
- aakinjagunla45399@direct.ctc.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2310797 | MA | Yes |
Addresses
Primary practice location
47 Congress St
Salem, MA 01970-7308
Mailing address
47 Congress St
Salem, MA 01970-7308
Phone (978) 744-8388
Other providers in Salem, MA
- Elnaz Jamali Afousi
- Pushpa D Agarwal
- Jose Aristides Aguilar
- Corinne Ahuja
- Natalie Aiosa
- Jacqueline Akinyi
- Al & L Transportation LLC
- Mohammed Al-Ani
- Mariam Musaad Al-Naiem
- Awais Alam
All providers in Salem, MA · Psychiatric/Mental Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2023. 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.