Sade Omotunde Ayodele, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

284980 Issued in AZ

Practice address

18886 E Seagull Dr
Queen Creek, AZ 85142-5313

Phone

(480) 273-9731

NPI assigned

Dec 19, 2022

Last updated

Dec 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

97.32 of 100Reported as group

Quality

85.03

Promoting interoperability

99

Improvement activities

40

Cost

90.19

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sade.ayodelepmhnp.p1@direct.cbridges.nextgenshare.com

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.

• Peace of Mind365

  • Psychiatric/Mental Health Nurse Practitioner
  • Queen Creek, AZ
  • NPI 1255035556
  Authorized official Same address or phone
• Southwest Network

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1104856004
  NPD
• Southwest Network

  • Community/Behavioral Health Agency
  • Peoria, AZ
  • NPI 1124275953
  NPD
• Southwest Network, Inc.

  dba Southwest Network

  • Community/Behavioral Health Agency
  • Chandler, AZ
  • NPI 1487981338
  NPD

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1649982943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18886 E SEAGULL DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425313",
            "telephone_number": "480-273-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18886 E SEAGULL DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425313",
            "telephone_number": "480-273-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYODELE",
        "first_name": "SADE",
        "middle_name": "OMOTUNDE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "284980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aspen Star Enterprises LLC (Care More Chiropractic)
• Kaisa Asunto, MS, NCC, LAC
• Athletico LTD (Athletico Physical Therapy)
• Jessica Avery, IHP
• Erica Tamika Ayala, LPC
• Az Assisted Living, LLC
• Chatur J Babaria, MD
• Anna Marie Bachmeier
• Desiree Baenen
• Kelly Marie Bailey

• Psychiatric/Mental Health Nurse Practitioner in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.