ADETIMBO ADEDIRAN (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1679922298
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $14 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161011000053 | I | Nurse Practitioner | MD | TBD |
| I20161011000913 | I | Nurse Practitioner | DC | TBD |
| I20240117004042 | I | Nurse Practitioner | NY | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 52 | 26 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 21117)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | MD | |
| P S Y C H I A T R Y | WV | |
| Psychiatry, Hospitalist, Psychiatry, Internal Medicine | MD | |
| P S Y C H I A T R Y | NY | |
| Nurse Practitioner | MO | |
| P S Y C H I A T R Y | MD | |
| - | MD | |
| - | MD | |
| - | MD | |
| Clinical Social Worker | MD |
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