ADAOBI MAUREEN ADIMORAH – Registered Nurse, NPI 1114429719

ADAOBI MAUREEN ADIMORAH is a healthcare provider. based in Colton, California. specializing in NURSE PRACTITIONER. They hold a License No. 95021094 (CA). The NPI Number for ADAOBI MAUREEN ADIMORAH is 1114429719

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ADAOBI MAUREEN ADIMORAH
NPI
1114429719
Phone
(909) 370-4700
Address
1001 E Cooley Dr
Enumeration Date
28 February 2018
Last Update Date
6 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9093353026
Graduation Year
2022 (4 years ago)
PAC ID
7113396706
Group Practice PAC ID
9436062312
Professional Enrollment ID
I20221202001068
Address ID
CA923738054RE1809XBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for ADAOBI MAUREEN ADIMORAH

  • 1001 E Cooley Dr

    Colton, CA 923243941

    Phone: (909) 370-4700

    Type: Location

  • 1430 E Cooley Dr Ste 112

    Colton, CA 923243934

    Phone: (909) 792-6262

    Type: Location

  • 1007 E Cooley Dr # 111

    Colton, CA 923243901

    Phone: (909) 300-0661

    Fax: (909) 280-8014

    Type: Location

  • 1003 E Cooley Dr Ste 211

    Colton, CA 923243907

    Phone: (909) 429-3244

    Fax: (909) 981-0821

    Type: Location

  • 400, Pepper Avenue, West Colton, Colton, San Bernardino County, California, 92324, United States

    COLTON, CA 923241801

    Phone: (909) 580-3145

    Fax: (909) 580-2165

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $628.

Total Amount is formed as General ($628) + Research ($0) + Ownership ($0) = $628.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: ABBVIE INC. ($236).

Total Amount

$628

General + Research + Ownership

Payments

23

Total payment records

General Amount

$628

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221202001068INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92324)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436062312View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Clinical Social WorkerCA
Clinical Social WorkerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

Where can patients find ADAOBI MAUREEN ADIMORAH's NPI?
You can confirm ADAOBI MAUREEN ADIMORAH with NPI 1114429719; it appears in the national provider directory.
Is ADAOBI MAUREEN ADIMORAH's NPI currently valid?
The extract we use shows ADAOBI MAUREEN ADIMORAH as active.
Can you summarize ADAOBI MAUREEN ADIMORAH's specialty in plain language?
Clinically, the directory lists ADAOBI MAUREEN ADIMORAH with Registered Nurse. Clinical services aligned with this taxonomy classification.
What location metadata exists for ADAOBI MAUREEN ADIMORAH?
The page summarizes Colton, California for ADAOBI MAUREEN ADIMORAH; expand the address list for detail.
What if Colton, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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