AUGUSTINA FAKIYESI – Family Nurse Practitioner, NPI 1013373786

AUGUSTINA FAKIYESI is a healthcare provider. based in Norristown, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. SP015662 (PA). The NPI Number for AUGUSTINA FAKIYESI is 1013373786

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
AUGUSTINA FAKIYESI
NPI
1013373786
Phone
(484) 213-7193
Address
1430 DEKALB ST
Enumeration Date
11 January 2016
Last Update Date
28 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3126008484
Graduation Year
2020 (6 years ago)
PAC ID
6901254630
Group Practice PAC ID
7517213879
Professional Enrollment ID
I20231118000539
Address ID
PA191344607PH3621XAVEX300

Contacts

Secure Messaging
Augustina.Fakiyesi001@trinity-health.org
Secure Messaging
mercy.life.of.pennsylvania@trinityhealthpa.medicity.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

11,473 NURSE PRACTITIONER in PA

Provider Addresses for AUGUSTINA FAKIYESI

  • 1430 DEKALB ST

    NORRISTOWN, PA 194013426

    Phone: (484) 213-7193

    Type: Location

  • 1430 Dekalb St

    Norristown, PA 194013426

    Phone: (484) 213-7193

    Type: Location

  • PO BOX 746722

    ATLANTA, GA 303746722

    Phone: (312) 733-9730

    Type: Mailing

  • 2401 W CHELTENHAM AVE

    WYNCOTE, PA 190952946

    Phone: (215) 444-7471

    Type: Location

  • 2442, Brodhead Road, Bethlehem Township, Northampton County, Pennsylvania, 18020, United States

    BETHLEHEM, PA 180208910

    Phone: (484) 213-7193

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-11-18

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
I20231118000539INurse PractitionerPATBD

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 19401)

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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: 7517213879View full group profile
NameSpecialtyState
Family PracticeGA
Family PracticeNJ
Nurse PractitionerMD
Nurse PractitionerPA
Nurse PractitionerPA
-PA
-IL
Mental Health CounselorPA
Addiction Medicine, Family PracticeGA
Family PracticePA

Reviews

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Frequently asked questions

What number should I use to identify AUGUSTINA FAKIYESI for billing?
Administrative and clinical systems typically use NPI 1013373786 for AUGUSTINA FAKIYESI.
Is AUGUSTINA FAKIYESI currently accepting referrals based on NPI status?
Registry metadata lists AUGUSTINA FAKIYESI as active.
How should patients interpret AUGUSTINA FAKIYESI's specialty?
The extract shows Family Nurse Practitioner for AUGUSTINA FAKIYESI. Clinical services aligned with this taxonomy classification.
Can patients visit AUGUSTINA FAKIYESI in Norristown, Pennsylvania?
For routing, start with Norristown, Pennsylvania for AUGUSTINA FAKIYESI, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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