RACHEL ADEBUKOLA O'DARE (NP) – Family Nurse Practitioner, NPI 1073004297
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RACHEL ADEBUKOLA O'DARE (NP)
LANDMARK MEDICAL OF MICHIGAN, PC
26677 W 12 MILE RD, STE 166
SOUTHFIELD, MI 480341514
Phone: (734) 294-9482
Type: Location
43644 ARBORVIEW LN
VAN BUREN TWP, MI 481113347
Phone: (708) 299-2318
Type: Location
PO BOX 746723
ATLANTA, GA 303746723
Phone: (312) 733-9730
Type: Mailing
13667 EUREKA RD
SOUTHGATE, MI 481951332
Phone: (734) 530-6777
Fax: (734) 468-1156
Type: Location
3031 W GRAND BLVD STE 600
DETROIT, MI 482023014
Phone: (708) 299-2318
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $38.
Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.
Last reported payment date: 2023-11-13 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($38).
Total Amount
$38
General + Research + Ownership
Payments
1
Total payment records
General Amount
$38
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences, Inc. | $38 |
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: 2021-04-28
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 |
|---|---|---|---|---|
| I20210428002448 | I | Nurse Practitioner | MI | 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 48034)
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Reviews
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