OPEYEMI KEMIKI DADA (PMHNP-BC, CPNP-PC) – Nurse Practitioner, NPI 1174800353
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for OPEYEMI KEMIKI DADA (PMHNP-BC, CPNP-PC)
770 IDLEWYLD DR
MIDDLETOWN, DE 197097838
Phone: (240) 505-2416
Type: Mailing
2924 Brook Rd
Richmond, VA 232201215
Phone: (804) 628-9346
Type: Location
1200 E Broad St
Richmond, VA 232985025
Phone: (804) 628-9346
Type: Location
1600 ROCKLAND RD
NEMOURS DUPONT PEDIATRICS
WILMINGTON, DE 198033607
Phone: (302) 651-5500
Fax: (302) 651-5510
Type: Location
PO BOX 191
PROVIDER ENROLLMENT DEPARTMENT
ROCKLAND, DE 197320191
Phone: (904) 697-4201
Fax: (302) 651-4945
Type: Mailing
8401 MAYLAND DR # 7117
RICHMOND, VA 232944648
Phone: (240) 505-2416
Type: Mailing
1308 SHERWOOD AVE
RICHMOND, VA 232201210
Phone: (804) 828-3129
Fax: (804) 628-1236
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: 2024-09-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240917003074 | 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 19709)
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