Individual provider Active NPI

Modupe Togun, DNP, FNP-BC, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Windsor Mill, MD
National Provider Identifier
1033340278
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R167650 Issued in MD
Practice address
3110 N Rolling Rd
Windsor Mill, MD 21244-2023
Phone
(410) 298-1931
Fax
(410) 298-1932
NPI assigned
Aug 6, 2009
Last updated
Sep 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R167650 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R167650 MD Primary

Addresses

Primary practice location

3110 N Rolling Rd
Windsor Mill, MD 21244-2023

Mailing address

3110 N Rolling Rd
Windsor Mill, MD 21244-2023
Phone (410) 298-1931

Other practice location 1

2324 N Rolling Rd
Ste 101
Windsor Mill, MD 21244-1953
Phone (410) 298-1931

Other identifiers 1

IdentifierTypeStateIssuer
033777300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021000882 MD Practitioner - Nurse Practitioner 4183817299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Behavioral Health LLCGroup PAC ID 0648524116, 2 clinicians

Practice addresses (Care Compare)

2324 N Rolling Rd
Suite 101
Windsor Mill, MD 21244-1953
Phone (410) 298-1931

3110 N Rolling Rd
Windsor Mill, MD 21244-2023
Phone (410) 298-1931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R167650MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Family Practice and Walk-in Clinic CurrentSince Jun 1, 2010 Accepting new patients
Access Behavioral Health LLC CurrentSince Sep 23, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2324 N Rolling Rd
Ste 101
Windsor Mill, MD 21244
Phone (410) 298-1931

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1033340278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 N ROLLING RD",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442023",
            "telephone_number": "410-298-1931",
            "fax_number": "410-298-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 N ROLLING RD",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442023",
            "telephone_number": "410-298-1931",
            "fax_number": "410-298-1932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2324 N Rolling Rd",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Windsor Mill",
            "state": "MD",
            "postal_code": "212441953",
            "country_code": "US",
            "telephone_number": "410-298-1931",
            "fax_number": "410-298-1932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOGUN",
        "first_name": "MODUPE",
        "name_prefix": "Dr.",
        "credential": "DNP,  FNP-BC, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R167650",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R167650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033777300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

Verify at the official NPI Registry.