CHRISTIANAH OLUBUKOLA ADEDURO (MSN, FNP-C, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1194315697
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for CHRISTIANAH OLUBUKOLA ADEDURO (MSN, FNP-C, PMHNP-BC)
550 W RANCHO VISTA BLVD STE D
PALMDALE, CA 935513011
Phone: (661) 418-2889
Fax: (661) 418-2892
Type: Mailing
45335 SIERRA HWY
LANCASTER, CA 935341611
Phone: (661) 949-8599
Type: Mailing
4010 Moorpark Ave Ste 114
San Jose, CA 951171803
Phone: (504) 414-5095
Fax: (415) 449-3540
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $253.
Total Amount is formed as General ($253) + Research ($0) + Ownership ($0) = $253.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: ABBVIE INC. ($130).
Total Amount
$253
General + Research + Ownership
Payments
4
Total payment records
General Amount
$253
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $130 |
| Janssen Pharmaceuticals, Inc | $123 |
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: 2025-03-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220920001798 | I | Nurse Practitioner | OR | TBD |
| I20220920001977 | I | Nurse Practitioner | WA | TBD |
| I20240615000420 | I | Nurse Practitioner | OH | TBD |
| I20250319003131 | I | Nurse Practitioner | CA | TBD |
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.
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 93551)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | WA |
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