BOSE AJAYI – Psychiatric/Mental Health Nurse Practitioner, NPI 1043882533
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BOSE AJAYI
8280 WILLOW OAKS CORPORATE DR STE 600
FAIRFAX, VA 220314516
Phone: (202) 730-5436
Type: Mailing
800 MAINE AVE SW
WASHINGTON, DC 200242805
Phone: (202) 730-5436
Type: Location
490 TAYLOR ST NE APT 13J
WASHINGTON, DC 200171549
Phone: (202) 730-5436
Type: Mailing
8280 Willow Oaks Corporate Dr Ste 600
Fairfax, VA 220314516
Phone: (202) 730-5436
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $248.
Total Amount is formed as General ($248) + Research ($0) + Ownership ($0) = $248.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($90).
Total Amount
$248
General + Research + Ownership
Payments
13
Total payment records
General Amount
$248
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-11-17
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 |
|---|---|---|---|---|
| I20220120000110 | I | Nurse Practitioner | DC | TBD |
| I20221117002764 | I | Nurse Practitioner | VA | 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 22031)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | GA | |
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| Clinical Social Worker | MD | |
| P S Y C H I A T R Y | DC | |
| Nurse Practitioner | MD | |
| P S Y C H I A T R Y | WV | |
| Mental Health Counselor | HI | |
| P S Y C H I A T R Y | MD | |
| Physician Assistant | MA |
Reviews
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