Individual provider Active NPI

Adenike Adedeji, FNP

  • Family Nurse Practitioner
  • Trenton, TN
National Provider Identifier
1992134597
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18036 Issued in TN
Practice address
120 Davy Crockett Mall
Trenton, TN 38382-2934
Phone
(731) 855-2803
Fax
(731) 855-1746
NPI assigned
Nov 4, 2013
Last updated
Nov 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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 18036 TN Primary

Addresses

Primary practice location

120 Davy Crockett Mall
Trenton, TN 38382-2934

Mailing address

42 Willow Green Dr
Jackson, TN 38305-9756
Phone (615) 708-8540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20141104001194 TN Practitioner - Nurse Practitioner 4688777147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Davy Crockett Mall
Trenton, TN 38382-2934
Phone (731) 855-3719

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
84.85
Promoting interoperability
99
Improvement activities
40
Cost
100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trenton Medical Clinic PLLC CurrentSince Mar 7, 2017 Accepting new patients

Locations

120 Davy Crockett Mall
Trenton, TN 38382
Phone (731) 855-2803

Interoperability endpoints

  • Direct secure messaging: adenikeadedeji@cvpllcdbat.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1992134597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 WILLOW GREEN DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383059756",
            "telephone_number": "615-708-8540",
            "fax_number": "731-855-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DAVY CROCKETT MALL",
            "city": "TRENTON",
            "state": "TN",
            "postal_code": "383822934",
            "telephone_number": "731-855-2803",
            "fax_number": "731-855-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEDEJI",
        "first_name": "ADENIKE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, TN

Sources for this page

Verify at the official NPI Registry.