EMILOLA ELIZABETH AKEREDOLU (FNP) – Family Nurse Practitioner, NPI 1215417415

EMILOLA ELIZABETH AKEREDOLU (FNP) is a healthcare provider. based in Upper marlboro, Maryland. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. R211332 (MD). The NPI Number for EMILOLA ELIZABETH AKEREDOLU (FNP) is 1215417415

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
EMILOLA ELIZABETH AKEREDOLU (FNP)
NPI
1215417415
Phone
(301) 825-2913
Address
12923 Trumbull Dr
Enumeration Date
16 August 2018
Last Update Date
4 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3018912500
Graduation Year
2018 (8 years ago)
PAC ID
4587994157
Group Practice PAC ID
7517903982
Professional Enrollment ID
I20190924003066
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

Provider Addresses for EMILOLA ELIZABETH AKEREDOLU (FNP)

  • 12923 Trumbull Dr

    Upper Marlboro, MD 207725257

    Phone: (301) 825-2913

    Type: Location

  • 13600 Laurel Bowie Rd

    Laurel, MD 207081562

    Phone: (301) 825-2913

    Type: Location

  • 7474 Greenway Center Dr

    Greenbelt, MD 20770

    Phone: (301) 441-3050

    Fax: (301) 441-1148

    Type: Location

  • 7474, Greenway Center Drive, Greenbelt, Prince George's County, Maryland, 20770, United States

    GREENBELT, MD 207703504

    Phone: (301) 441-3050

    Fax: (301) 441-1148

    Type: Mailing

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 $176.

Total Amount is formed as General ($176) + Research ($0) + Ownership ($0) = $176.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($99).

Total Amount

$176

General + Research + Ownership

Payments

4

Total payment records

General Amount

$176

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-09-24

PECOS data refreshed: 2026-06-15

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
I20190924003066INurse PractitionerDCTBD

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 20772)

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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: 7517903982View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineNY
Nurse PractitionerMD
Nurse PractitionerMD
-MD
Physician AssistantMD
-MD
Vascular SurgeryTX
P O D I A T R YDC
Nurse PractitionerMD
Internal Medicine, Cardiovascular Disease (Cardiology)MD

Reviews

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Frequently asked questions

Can I verify EMILOLA ELIZABETH AKEREDOLU (FNP) with an NPI only?
You can start verification with NPI 1215417415 for EMILOLA ELIZABETH AKEREDOLU (FNP), then check state licensing separately.
Can I rely on EMILOLA ELIZABETH AKEREDOLU (FNP) being an active provider?
As of the registry snapshot, EMILOLA ELIZABETH AKEREDOLU (FNP) is marked active.
What is EMILOLA ELIZABETH AKEREDOLU (FNP)'s specialty?
The listing groups EMILOLA ELIZABETH AKEREDOLU (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does EMILOLA ELIZABETH AKEREDOLU (FNP) list a practice location?
Patients near Upper Marlboro, Maryland may find EMILOLA ELIZABETH AKEREDOLU (FNP) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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