Individual provider Active NPI

Adenike Gbadebo, CNP

  • Family Nurse Practitioner
  • Canton, OH
National Provider Identifier
1932723178
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.026486 Issued in OH
Practice address
2600 6TH St SW
Canton, OH 44710-1702
Phone
(330) 363-9043
NPI assigned
Jun 3, 2020
Last updated
Jun 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.026486 OH Primary

Addresses

Primary practice location

2600 6TH St SW
Canton, OH 44710-1702

Mailing address

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 363-9043

Other practice location 1

4135 Tuscarawas St W
Canton, OH 44708-5463
Phone (330) 546-0913

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adenike.gbadebo@direct.aultman.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200629002254 OH Practitioner - Nurse Practitioner 0941622443 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Specialists, LLCGroup PAC ID 1850311010, 81 clinicians

Practice addresses (Care Compare)

472 E Waterloo Rd
Suite 102
Akron, OH 44319-1245
Phone (330) 622-4495

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Specialists, LLC Multi-Specialty CurrentSince Jun 19, 2024 Accepting new patients
Incare Health Solutions LLC Multi-Specialty CurrentSince Jan 12, 2020 Accepting new patients
Incare Health Solutions, LLC Multi-Specialty CurrentSince Jun 1, 2020 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Multi-Specialty CurrentSince Oct 10, 2022 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Oct 10, 2022 Accepting new patients

Locations

472 E Waterloo Rd
Ste 102
Akron, OH 44319
Phone (330) 622-4495

4135 Tuscarawas St W
Canton, OH 44708
Phone (330) 546-0913

1615 Morse Rd
Columbus, OH 43229
Phone (614) 681-1100

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

211 Edgefield Blvd
Marion, OH 43302

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

Interoperability endpoints

  • Direct secure messaging: adenike.gbadebo@direct.aultman.org

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1932723178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-363-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-363-9043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4135 Tuscarawas St W",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447085463",
            "country_code": "US",
            "telephone_number": "330-546-0913",
            "fax_number": "330-546-0752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GBADEBO",
        "first_name": "ADENIKE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.026486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adenike.gbadebo@direct.aultman.org",
            "affiliation": "N",
            "endpointDescription": "Aultman direct address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2600 6th St SW",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447101702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.