Adebola Kafayat Adegbenro, APRN
NPI 1154970796ActiveIndividual· Registered Nurse· Lake Mary, FL
Registered Nurse (APRN) in Lake Mary, Florida, licensed in TX, MA and FL, with an NPI issued in September 2019. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1154970796 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Sep 6, 2019 |
| Last updated in NPPES | Feb 7, 2026 |
| Certified by provider | Feb 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse Primary | 163W00000X | 1051648 | TX |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | RN2360005 | MA |
| Licensed Vocational Nurse | 164X00000X | 349695 | TX |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | APRN11044371 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WA) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Registered Nurse providers in Lake Mary
- 1174290506
- 1871032953
- 1093999351
- 1073308276
- 1790693679
- 1396077301
- 1710503495
- 1003745571