Omotara Joan Adewale, MSN, NP-C, FNP-BC - Medicare Nurse Practitioner in Staten Island, NY

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Omotara Joan Adewale, MSN, NP-C, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Staten Island, New York. Her current practice location is 260 Christopher Ln Ste 201, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (929) 367-0510.

Omotara Joan Adewale is licensed to practice in New York (license number F341251-1) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366985251.

Contact Information

Omotara Joan Adewale, MSN, NP-C, FNP-BC
260 Christopher Ln Ste 201,
Staten Island, NY 10314-1650
(929) 367-0510
(929) 367-0511

Map and Direction




Provider's Profile

Full NameOmotara Joan Adewale
GenderFemale
SpecialityNurse Practitioner - Family
Location260 Christopher Ln Ste 201, Staten Island, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366985251
  • Provider Enumeration Date: 11/23/2016
  • Last Update Date: 11/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4981969813
  • Enrollment ID: I20180524002181

Medical Identifiers

Medical identifiers for Omotara Joan Adewale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366985251NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F341251-1 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Omotara Joan Adewale allows following entities to bill medicare on her behalf.
Entity NameEssen Medical Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366418709
PECOS PAC ID: 1759353501
Enrollment ID: O20040811000885
Entity NameHouse Call Medical Services Of New York Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851345946
PECOS PAC ID: 2264517754
Enrollment ID: O20080307000427
Entity NameUrbane Care Np, Nurse Practitioner In Family Health, Pllc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497576946
PECOS PAC ID: 5799206645
Enrollment ID: O20250307000407

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Omotara Joan Adewale is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Omotara Joan Adewale, MSN, NP-C, FNP-BC
1275 York Ave,
New York, NY 10065-6007

Ph: (212) 639-2000		Omotara Joan Adewale, MSN, NP-C, FNP-BC
260 Christopher Ln Ste 201,
Staten Island, NY 10314-1650

Ph: (929) 367-0510

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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