Individual provider Active NPI

Adepeju Adeola Bolaji, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1790310274
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2020015674 Issued in NC
Practice address
3643 N Roxboro St
Durham, NC 27704-2702
Phone
(919) 470-4000
NPI assigned
Mar 5, 2020
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 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 2020015674 NC Primary
Registered Nurse 163W00000X 195399 NC

Addresses

Primary practice location

3643 N Roxboro St
Durham, NC 27704-2702

Mailing address

Duke University Hospital 2301 Erwin Rd
Durham, NC 27710-0001
Phone (919) 491-7728

Other practice location 1

1638 Memorial Dr
Burlington, NC 27215-3518
Phone (336) 438-2525

Other practice location 2

114 S Park Ter
Eden, NC 27288-5351
Phone (336) 438-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210817003241 NC Practitioner - Nurse Practitioner 7517362346 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke University Health System, IncGroup PAC ID 2567372345, shared by 22 NPIs, 1,083 clinicians

Practice addresses (Care Compare)

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

3643 N Roxboro St
Durham, NC 27704-2702
Phone (919) 470-5356

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020015674NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Beautifiul Mind Behavioral Health Services PLLC Psychiatric/Mental Health CurrentSince Aug 18, 2025 Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Feb 2, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Feb 2, 2025 Accepting new patients
Duke University Health System, Inc. Nurse Practitioner CurrentSince Jul 27, 2021 Accepting new patients
Duke University Health System, Inc. CurrentSince Jul 27, 2021 Accepting new patients
Duke University Health System, Inc. Nurse Practitioner CurrentSince Jul 27, 2021 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Feb 2, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Feb 2, 2025 Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1638 Memorial Dr
Burlington, NC 27215
Phone (336) 226-8000

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

114 S Park Ter
Eden, NC 27288
Phone (336) 438-2525

612 Business Park Dr
Eden, NC 27288
Phone (336) 438-2525

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

700 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 832-9600

Interoperability endpoints

  • Direct secure messaging: abolaji324292@direct.vidanthealth.com
  • Direct secure messaging: abolaji482741@direct.medicine.duke.edu

Organizations & group practices 9

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": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1790310274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DUKE UNIVERSITY HOSPITAL 2301 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-491-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3643 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042702",
            "telephone_number": "919-470-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1638 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272153518",
            "country_code": "US",
            "telephone_number": "336-438-2525",
            "fax_number": "336-627-3382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 S Park Ter",
            "address_purpose": "LOCATION",
            "city": "Eden",
            "state": "NC",
            "postal_code": "272885351",
            "country_code": "US",
            "telephone_number": "336-438-2525",
            "fax_number": "336-627-3382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLAJI",
        "first_name": "ADEPEJU",
        "middle_name": "ADEOLA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "2020015674",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "195399",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.