IFEOLUWA ADENIKE AMUSAN – Psychiatric/Mental Health Nurse Practitioner, NPI 1093676025

IFEOLUWA ADENIKE AMUSAN is a healthcare provider. based in Brentwood, Tennessee. specializing in NURSE PRACTITIONER. They hold a License No. 40235 (TN). The NPI Number for IFEOLUWA ADENIKE AMUSAN is 1093676025

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
IFEOLUWA ADENIKE AMUSAN
NPI
1093676025
Phone
(615) 274-9767
Address
9019 OVERLOOK BLVD
Enumeration Date
19 November 2025
Last Update Date
13 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6152749767
Graduation Year
2024 (2 years ago)
PAC ID
6002309192
Group Practice PAC ID
0648653360
Professional Enrollment ID
I20251205004084
Address ID
TN370272737BR9019XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for IFEOLUWA ADENIKE AMUSAN

  • 9019 OVERLOOK BLVD

    BRENTWOOD, TN 370272735

    Phone: (615) 274-9767

    Mailing address matches the actual address.

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: 2025-12-05

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
I20251205004084INurse PractitionerTNTBD

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 37027)

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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: 0648653360View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerKY
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerMS
Nurse PractitionerTN

Reviews

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Frequently asked questions

What unique ID ties claims to IFEOLUWA ADENIKE AMUSAN?
NPI 1093676025 is assigned to IFEOLUWA ADENIKE AMUSAN under the national enumeration system.
Does this profile mean IFEOLUWA ADENIKE AMUSAN is currently active?
Yes — IFEOLUWA ADENIKE AMUSAN appears active in the national provider directory.
Does IFEOLUWA ADENIKE AMUSAN list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for IFEOLUWA ADENIKE AMUSAN. Clinical services aligned with this taxonomy classification.
What location shows for IFEOLUWA ADENIKE AMUSAN?
We surface Brentwood, Tennessee for IFEOLUWA ADENIKE AMUSAN based on available NPPES addresses.
What if Brentwood, Tennessee seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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