EUNICE OLAYINKA ITABIYI (NP) – Licensed Practical Nurse, NPI 1972939569
Licensed Practical Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
Provider Addresses for EUNICE OLAYINKA ITABIYI (NP)
1111 HIGHLAND AVE
ABINGTON, PA 190013703
Phone: (445) 217-0654
Fax: (215) 886-2123
Type: Mailing
170 N HENDERSON RD #310
KING OF PRUSSIA, PA 194062155
Phone: (445) 217-0654
Fax: (215) 886-2123
Type: Location
12932 145TH ST
JAMAICA, NY 114361823
Phone:
Type: Mailing
170 N Henderson Rd Ste 310
King Of Prussia, PA 194062155
Phone: (445) 217-0654
Fax: (215) 886-2123
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $321.
Total Amount is formed as General ($321) + Research ($0) + Ownership ($0) = $321.
Last reported payment date: 2023-03-29 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($164).
Total Amount
$321
General + Research + Ownership
Payments
6
Total payment records
General Amount
$321
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $164 |
| Neurocrine BioSciences, Inc. | $109 |
| Alkermes, Inc. | $25 |
| Corium, LLC | $24 |
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: 2025-01-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20211108000292 | I | Nurse Practitioner | PA | TBD |
| I20250114003570 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | NY | |
| Clinical Social Worker | NY | |
| Mental Health Counselor | NY | |
| Clinical Social Worker | NY | |
| Nurse Practitioner | NY | |
| Clinical Social Worker | NY | |
| Mental Health Counselor | NY | |
| Clinical Psychologist | NY | |
| Clinical Social Worker | NY | |
| Mental Health Counselor | PA |
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