Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Modupe R Adedoja, NP

Individual provider Registered Nurse · NPI 1346567013

Modupe R Adedoja, NP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2014, 12 years ago. Accepts Medicare assignment. Licensed in Arizona, New York and Texas.

Years since qualifying
12
Licensed in
AZ, NY, TX
In the registry since
2010
Specialties on file
7
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

111 W Monroe St Ste 300
Phoenix, AZ 85003-1718
Phone: (205) 536-8400
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 288675 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence 628238 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 875172 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP138574 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F346956 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 288675 (AZ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 405441 (NY)

Record details

NPI number1346567013
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 21, 2010
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023
Mailing address111 W Monroe St Ste 300, Phoenix, AZ 85003-1718

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Phoenix