ENITAN ADEBAYO SHIJI (FNP-BC, CRNA) – Nurse Practitioner, NPI 1255094587

ENITAN ADEBAYO SHIJI (FNP-BC, CRNA) is a healthcare provider. based in Midlothian, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials FNP-BC, CRNA. They hold a License No. 1054626 (TX). The NPI Number for ENITAN ADEBAYO SHIJI (FNP-BC, CRNA) is 1255094587

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
ENITAN ADEBAYO SHIJI (FNP-BC, CRNA)
NPI
1255094587
Phone
(214) 545-2308
Address
3507 WALNUT RIDGE DR
Enumeration Date
13 October 2021
Last Update Date
30 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9036546800
Graduation Year
2025 (1 year ago)
PAC ID
6901396597
Group Practice PAC ID
3971940966
Professional Enrollment ID
I20251103002331
Address ID
TX751102450CO3201X22XX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:4State licenses:2Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for ENITAN ADEBAYO SHIJI (FNP-BC, CRNA)

  • 3507 WALNUT RIDGE DR

    MIDLOTHIAN, TX 760655378

    Phone: (214) 545-2308

    Type: Mailing

  • 8801 S 101ST EAST AVE

    TULSA, OK 741335716

    Phone: (214) 545-2308

    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: 2025-11-03

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
I20251103002331ICertified Registered Nurse Anesthetist (Crna)TXTBD

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 76065)

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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: 3971940966View full group profile
NameSpecialtyState
Emergency MedicineTX
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)TX
Emergency MedicineMI
Certified Registered Nurse Anesthetist (Crna)OK
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineAZ
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)AZ

Reviews

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Frequently asked questions

What number should I use to identify ENITAN ADEBAYO SHIJI (FNP-BC, CRNA) for billing?
Administrative and clinical systems typically use NPI 1255094587 for ENITAN ADEBAYO SHIJI (FNP-BC, CRNA).
Is ENITAN ADEBAYO SHIJI (FNP-BC, CRNA) currently accepting referrals based on NPI status?
Registry metadata lists ENITAN ADEBAYO SHIJI (FNP-BC, CRNA) as active.
What does the directory say ENITAN ADEBAYO SHIJI (FNP-BC, CRNA) does?
Insurance directories may phrase it differently, but here ENITAN ADEBAYO SHIJI (FNP-BC, CRNA) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to ENITAN ADEBAYO SHIJI (FNP-BC, CRNA)?
ENITAN ADEBAYO SHIJI (FNP-BC, CRNA) shows a connection to Midlothian, 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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