JOY OLUWAKEMI ADEYEMI (FNP) – Family Nurse Practitioner, NPI 1548023864

JOY OLUWAKEMI ADEYEMI (FNP) is a healthcare provider. based in Cedar park, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 1021367 (TX). The NPI Number for JOY OLUWAKEMI ADEYEMI (FNP) is 1548023864

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
JOY OLUWAKEMI ADEYEMI (FNP)
NPI
1548023864
Phone
(570) 877-8180
Address
1500 COTTONWOOD CREEK TRL
Enumeration Date
31 January 2024
Last Update Date
31 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3379919276
Graduation Year
2023 (3 years ago)
PAC ID
3375078306
Group Practice PAC ID
6507173291
Professional Enrollment ID
I20241127000897
Address ID
TX765023299TE1201XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for JOY OLUWAKEMI ADEYEMI (FNP)

  • 1500 COTTONWOOD CREEK TRL

    CEDAR PARK, TX 786137555

    Phone: (570) 877-8180

    Type: Mailing

  • 501 CIRCLE WAY UNIT 5D

    JARRELL, TX 765371917

    Phone: (570) 877-8180

    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: 2024-11-27

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
I20241127000897INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78613)

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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: 6507173291View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeAZ
Certified Clinical Nurse Specialist (Cns)TX
Certified Clinical Nurse Specialist (Cns)TX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX

Reviews

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Frequently asked questions

What is JOY OLUWAKEMI ADEYEMI (FNP)'s NPI number?
JOY OLUWAKEMI ADEYEMI (FNP)'s NPI is 1548023864 — the number used across U.S. healthcare to identify this provider.
Would JOY OLUWAKEMI ADEYEMI (FNP) appear as active to a payer?
You can treat JOY OLUWAKEMI ADEYEMI (FNP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JOY OLUWAKEMI ADEYEMI (FNP)?
JOY OLUWAKEMI ADEYEMI (FNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is JOY OLUWAKEMI ADEYEMI (FNP) registered?
Use Cedar Park, Texas as the headline location for JOY OLUWAKEMI ADEYEMI (FNP) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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