ADEKUNBI ABIOSE IMALENOWA (APRN-CNP/RN) – Psychiatry Physician, NPI 1073144937

ADEKUNBI ABIOSE IMALENOWA (APRN-CNP/RN) is a healthcare provider. based in Grand prairie, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP/RN. They hold a License No. AP144682 (TX). The NPI Number for ADEKUNBI ABIOSE IMALENOWA (APRN-CNP/RN) is 1073144937

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ADEKUNBI ABIOSE IMALENOWA (APRN-CNP/RN)
NPI
1073144937
Phone
(240) 413-3823
Address
831 Luxor Ct
Enumeration Date
30 January 2020
Last Update Date
17 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8175694300
Graduation Year
2019 (7 years ago)
PAC ID
1456726827
Group Practice PAC ID
6406755693
Professional Enrollment ID
I20230417002886
Address ID
TX761077277FO3840XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for ADEKUNBI ABIOSE IMALENOWA (APRN-CNP/RN)

  • 831 Luxor Ct

    Grand Prairie, TX 750521694

    Phone: (240) 413-3823

    Type: Location

  • PO BOX 2603

    FORT WORTH, TX 761132603

    Phone: (817) 569-4300

    Type: Mailing

  • 3840 HULEN ST

    FORT WORTH, TX 761077277

    Phone: (817) 335-3022

    Type: Location

  • 831 LUXOR CT

    GRAND PRAIRIE, TX 750521694

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 76 Open Payments records for all available years, with a total value of $1,794.

Total Amount is formed as General ($1,794) + Research ($0) + Ownership ($0) = $1,794.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($655).

Total Amount

$1,794

General + Research + Ownership

Payments

76

Total payment records

General Amount

$1,794

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2023-04-17

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
I20230417002886INurse PractitionerTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90792Psychiatric diagnostic evaluation with medical services1111$0
View full utilization report →

Insurance plans in this area (ZIP 75052)

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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: 6406755693View full group profile

Reviews

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Frequently asked questions

What is the standard ID for ADEKUNBI ABIOSE IMALENOWA (APRN-CNP/RN) in the U.S.?
In the U.S., ADEKUNBI ABIOSE IMALENOWA (APRN-CNP/RN) is identified by NPI 1073144937.
Is ADEKUNBI ABIOSE IMALENOWA (APRN-CNP/RN)'s NPI status active today?
Active status means ADEKUNBI ABIOSE IMALENOWA (APRN-CNP/RN)'s NPI record is not deactivated in the public file.
How should patients interpret ADEKUNBI ABIOSE IMALENOWA (APRN-CNP/RN)'s specialty?
The extract shows Psychiatry Physician for ADEKUNBI ABIOSE IMALENOWA (APRN-CNP/RN). Clinical services aligned with this taxonomy classification.
Which community is linked to ADEKUNBI ABIOSE IMALENOWA (APRN-CNP/RN)?
ADEKUNBI ABIOSE IMALENOWA (APRN-CNP/RN) shows a connection to Grand Prairie, Texas in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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