Rubabetu Abimbola Akinola
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Aurora, IL
NPI 1801520630 · NPPES record last updated Nov 18, 2022
Key facts
- NPI
- 1801520630
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 309019254 (IL)
- Practice address
- 75 Executive Dr Ste 339
Aurora, IL 60504-8124 - Phone
- (312) 973-2554
- NPI assigned
- Jul 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1555 Naper VL Wheaton Rd
Suite 109
Naperville, IL 60563-8448
Phone (331) 321-7220
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20230518001038 | IL | Practitioner - Nurse Practitioner | 1254797103 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309019254 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 309019254 | IL | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
75 Executive Dr Ste 339
Aurora, IL 60504-8124
Mailing address
75 Executive Dr Ste 339
Aurora, IL 60504-8124
Phone (312) 973-2554
Other providers in Aurora, IL
- Huma Abbas
- Abd Diagnostics LLC
- Mary Neseem Abd
- Abdul Qadir, MD, P.C.
- Abigail Mitchell LCPC LLC
- Above & Beyond Care Providers, Inc
- Kurian P Abraham
- Saju Abraham
- Toni M Abramovske
- Nadia Abu-Nijmeh
All providers in Aurora, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2022. 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.