Individual provider Active NPI

Adunni Mudiwa Ward, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Lansdowne, PA
National Provider Identifier
1477217180
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP024388 Issued in PA
Practice address
240 N Wycombe Ave
Lansdowne, PA 19050-1618
Phone
(973) 220-5984
NPI assigned
Oct 28, 2021
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 114726-23 NH
Primary Care Nurse Practitioner 363LP2300X SP024388 PA Primary

Addresses

Primary practice location

240 N Wycombe Ave
Lansdowne, PA 19050-1618

Mailing address

240 N Wycombe Ave
Lansdowne, PA 19050-1618
Phone (973) 220-5984

Other identifiers 1

IdentifierTypeStateIssuer
710723719777MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lansdowne

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 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
I20240601000201 PA Practitioner - Nurse Practitioner 5193163731 Reassigns benefits to 4 organizations
I20260305004241 NY Practitioner - Nurse Practitioner 5193163731 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
Telehealth
Offers telehealth services
Group practices
Infinite Medical PCGroup PAC ID 8325477656, 87 clinicians

Practice addresses (Care Compare)

498 Washington St
Easton, PA 18042-4432
Phone (718) 534-0689

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
114726-23NHMDPsychiatric/Mental Health Nurse Practitioner
SP024388PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice at Lsmnj, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Ennoble HC NJ PC CurrentSince Jun 10, 2024 Accepting new patients
Spiricare of New Jersey Inc. CurrentSince Mar 17, 2025 Accepting new patients

Locations

3 Manhattan Dr
Burlington, NJ 08016
Phone (609) 386-7171

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

325 Chestnut St
Ste 800
Philadelphia, PA 19106
Phone (973) 241-1356

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1477217180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N WYCOMBE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190501618",
            "telephone_number": "973-220-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N WYCOMBE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190501618",
            "telephone_number": "973-220-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "ADUNNI",
        "middle_name": "MUDIWA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "114726-23",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP024388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710723719777",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lansdowne",
            "affiliation": "N",
            "address_1": "240 N Wycombe Ave",
            "city": "Lansdowne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190501618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lansdowne, PA

Sources for this page

Verify at the official NPI Registry.