Individual provider Active NPI

Ayodele Maruf Jinadu, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1851004055
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11023755 Issued in FL
Practice address
1836 Woodward St
Orlando, FL 32803-4256
Phone
(407) 894-6980
Fax
(407) 894-6982
NPI assigned
Jan 3, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN11023755 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11023755 FL Primary

Addresses

Primary practice location

1836 Woodward St
Orlando, FL 32803-4256

Mailing address

2211 Pinyon Rd
Apopka, FL 32703-8459
Phone (407) 285-0684

Other practice location 1

2211 Pinyon Rd
Apopka, FL 32703-8459
Phone (407) 285-0684

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
I20241210004538 FL Practitioner - Nurse Practitioner 8426584756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nova Psychiatry IncGroup PAC ID 6800020504, 5 clinicians

Practice addresses (Care Compare)

1836 Woodward St
Orlando, FL 32803-4256
Phone (407) 883-9303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11023755FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Psychiatry Inc CurrentSince Sep 20, 2024 Accepting new patients

Locations

1836 Woodward St
Orlando, FL 32803
Phone (407) 883-9303

Organizations & group practices 1

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": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1851004055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 PINYON RD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327038459",
            "telephone_number": "407-285-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 WOODWARD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034256",
            "telephone_number": "407-894-6980",
            "fax_number": "407-894-6982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Pinyon Rd",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327038459",
            "country_code": "US",
            "telephone_number": "407-285-0684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JINADU",
        "first_name": "AYODELE",
        "middle_name": "MARUF",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-03",
        "last_updated": "2025-08-07",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11023755",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11023755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.