CHARMAINE ADEGEYE – Psychiatric/Mental Health Nurse Practitioner, NPI 1003393695

CHARMAINE ADEGEYE is a healthcare provider. based in Livonia, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704240600 (MI). The NPI Number for CHARMAINE ADEGEYE is 1003393695

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
CHARMAINE ADEGEYE
NPI
1003393695
Phone
(248) 795-3553
Address
9268 GILLMAN ST
Enumeration Date
26 July 2018
Last Update Date
16 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2484388254
Graduation Year
2022 (4 years ago)
PAC ID
7911250121
Group Practice PAC ID
9931538980
Professional Enrollment ID
I20181105001433
Address ID
MI480332751SO25240RDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for CHARMAINE ADEGEYE

  • 9268, Gillman Street, Livonia, Wayne County, Michigan, 48150, United States

    LIVONIA, MI 481504118

    Phone: (248) 795-3553

    Type: Mailing

  • 41795, West 12 Mile Road, Novi, Oakland County, Michigan, 48377, United States

    NOVI, MI 483773107

    Phone: (248) 449-1655

    Type: Location

  • 45443 PARKDALE DR

    CANTON, MI 481882437

    Phone: (248) 795-3553

    Type: Mailing

  • 25240 LAHSER RD STE 2

    SOUTHFIELD, MI 480332751

    Phone: (248) 564-1367

    Fax: (734) 725-6746

    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 $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-03-12 • Largest payer in this snapshot: Alnylam Pharmaceuticals Inc. ($97).

Total Amount

$97

General + Research + Ownership

Payments

1

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-12

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: 2018-11-05

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
I20181105001433INurse PractitionerMITBD

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 48150)

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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: 9931538980View full group profile
NameSpecialtyState
Mental Health CounselorMI

Reviews

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Frequently asked questions

How do payers reference CHARMAINE ADEGEYE?
For CHARMAINE ADEGEYE, use NPI 1003393695 as the unique 10-digit identifier.
Would CHARMAINE ADEGEYE appear as active to a payer?
You can treat CHARMAINE ADEGEYE as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to CHARMAINE ADEGEYE?
CHARMAINE ADEGEYE's specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CHARMAINE ADEGEYE?
Travel planning: use Livonia, Michigan as the reference point for CHARMAINE ADEGEYE, then confirm.
When was this NPI issued?
Enumeration for CHARMAINE ADEGEYE is noted as July 26, 2018 where the registry provides it.

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