ADETIMBO ADEDIRAN (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1679922298

ADETIMBO ADEDIRAN (CRNP) is a healthcare provider. based in Owings mills, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. R194824 (MD). The NPI Number for ADETIMBO ADEDIRAN (CRNP) is 1679922298

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
ADETIMBO ADEDIRAN (CRNP)
NPI
1679922298
Phone
(240) 722-9763
Address
9435 PARAGON CT
Enumeration Date
4 June 2016
Last Update Date
18 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2023604787
Graduation Year
2015 (11 years ago)
PAC ID
4082902937
Group Practice PAC ID
1254409550
Professional Enrollment ID
I20161011000913
Address ID
DC200172180WA1150XNEXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:10State licenses:2Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

Provider Addresses for ADETIMBO ADEDIRAN (CRNP)

  • 9435 PARAGON CT

    OWINGS MILLS, MD 211171408

    Phone: (240) 722-9763

    Type: Mailing

  • 11236 Robinwood Dr

    Suite 101

    Hagerstown, MD 217426708

    Phone: (240) 313-4242

    Type: Location

  • 7503 Surratts Rd

    Clinton, MD 207353358

    Phone: (202) 360-4787

    Fax: (202) 360-4787

    Type: Location

  • 3927, Blackburn Lane, Valley Stream Estates, Burtonsville, Montgomery County, Maryland, 20866, United States

    BURTONSVILLE, MD 208661294

    Phone: (240) 722-9763

    Type: Mailing

  • Urgent Care, 11236, Robinwood Drive, Hagerstown, Washington County, Maryland, 21742, United States

    SUITE 101

    HAGERSTOWN, MD 217426708

    Phone: (240) 313-4242

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2024-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20161011000053INurse PractitionerMDTBD
I20161011000913INurse PractitionerDCTBD
I20240117004042INurse PractitionerNYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5226$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 21117)

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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: 1254409550View full group profile
NameSpecialtyState
-MD
P S Y C H I A T R YWV
Psychiatry, Hospitalist, Psychiatry, Internal MedicineMD
P S Y C H I A T R YNY
Nurse PractitionerMO
P S Y C H I A T R YMD
-MD
-MD
-MD
Clinical Social WorkerMD

Reviews

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Frequently asked questions

How do payers reference ADETIMBO ADEDIRAN (CRNP)?
For ADETIMBO ADEDIRAN (CRNP), use NPI 1679922298 as the unique 10-digit identifier.
Is ADETIMBO ADEDIRAN (CRNP) still an active registrant?
ADETIMBO ADEDIRAN (CRNP) carries an active NPI according to the public dataset.
How would a patient describe ADETIMBO ADEDIRAN (CRNP)'s focus?
For ADETIMBO ADEDIRAN (CRNP), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ADETIMBO ADEDIRAN (CRNP)?
Travel planning: use Owings Mills, Maryland as the reference point for ADETIMBO ADEDIRAN (CRNP), then confirm.
Can I trust this NPI listing for ADETIMBO ADEDIRAN (CRNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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