Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Ajibola A Adesanya, APRNCNP

Individual provider Family Nurse Practitioner · NPI 1306504543

Ajibola A Adesanya, APRNCNP is a Nurse Practitioner in Kettering, Ohio. Qualified in 2021, 5 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2021
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Practice location Address checks out

3700 Southern Blvd Ste 300
Kettering, OH 45429-1265
Phone: (937) 643-9299
Fax: (937) 643-2343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.0030228 (OH)

Record details

NPI number1306504543
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNCNP
Sole proprietorYes
NPI enumeratedDecember 6, 2021
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients56
Services billed 56 a service is one billed item, such as a visit, a test or a procedure
Average patient age79

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Kettering Independent Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 700 clinicians in the practice; 12 are shown here.

Other providers in Kettering