Adenike Adedeji, FNP
Individual provider Active NPI Family Nurse Practitioner · Trenton, TN
NPI 1992134597 · NPPES record last updated Nov 4, 2013
Key facts
- NPI
- 1992134597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 18036 (TN)
- Practice address
- 120 Davy Crockett Mall
Trenton, TN 38382-2934 - Phone
- (731) 855-2803
- Fax
- (731) 855-1746
- NPI assigned
- Nov 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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
- West Tennessee Healthcare Milan Hospital
- Jackson-Madison County General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 84.85
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20141104001194 | TN | Practitioner - Nurse Practitioner | 4688777147 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trenton Medical Clinic PLLC | Current |
Accepting new patients |
Locations
120 Davy Crockett Mall
Trenton, TN 38382
Phone (731) 855-2803
Interoperability endpoints
- adenikeadedeji@cvpllcdbat.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 18036 | TN | Yes |
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
Other providers in Trenton, TN
All providers in Trenton, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2013. 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.