Individual provider Active NPI

Adeola Ayodeji

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1427890417
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11031275 Issued in FL
Practice address
5331 Primrose Lake Cir Ste 112
Tampa, FL 33647-3764
Phone
(813) 517-4629
NPI assigned
Jun 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11031275 FL Primary

Addresses

Primary practice location

5331 Primrose Lake Cir Ste 112
Tampa, FL 33647-3764

Mailing address

5173 Fiddle Fig Ave
Wimauma, FL 33598-4340
Phone (469) 664-2139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240703002919 FL Practitioner - Nurse Practitioner 9436693215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gericare, Inc.Group PAC ID 7416366703, 5 clinicians
Bestcare Physician Services LLCGroup PAC ID 1456690320, 14 clinicians

Practice addresses (Care Compare)

2201 W Swann Ave
Suite 280
Tampa, FL 33606-2440
Phone (813) 316-6500

5331 Primrose Lake Cir
Suite 112
Tampa, FL 33647-3764
Phone (813) 517-4629

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11031275FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bestcare Physician Services LLC. CurrentSince Nov 1, 2024 Accepting new patients
Gericare, Inc. CurrentSince Jan 14, 2025 Accepting new patients

Locations

12094 Anderson Rd
Tampa, FL 33625
Phone (813) 316-6500

5331 Primrose Lake Cir
Ste 112
Tampa, FL 33647
Phone (813) 316-6500

Organizations & group practices 2

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": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1427890417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5173 FIDDLE FIG AVE",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335984340",
            "telephone_number": "469-664-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 PRIMROSE LAKE CIR STE 112",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473764",
            "telephone_number": "813-517-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYODEJI",
        "first_name": "ADEOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11031275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.