Individual provider Active NPI

Opemipo Doyin Ogeyingbo, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1033868153
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R207236 Issued in MD
Practice address
464 Norvelle CT
Glen Burnie, MD 21061-6121
Phone
(301) 592-7286
NPI assigned
Mar 23, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R207236 MD Primary

Addresses

Primary practice location

464 Norvelle CT
Glen Burnie, MD 21061-6121

Mailing address

464 Norvelle CT
Glen Burnie, MD 21061-6121
Phone (301) 592-7286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220727003253 MD Practitioner - Nurse Practitioner 9537540869 Reassigns benefits to 3 organizations
I20220727003802 DC Practitioner - Nurse Practitioner 9537540869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harford-Belair Community Mental Health Center, Inc.Group PAC ID 5799838850, 7 clinicians

Practice addresses (Care Compare)

4308 Harford Rd
Baltimore, MD 21214-3116
Phone (410) 426-5650

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland General Clinical Practice Group, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 16, 2024 Accepting new patients
Psychogeriatric Services LLC CurrentSince Jul 11, 2022 Accepting new patients
Harford-Belair Community Mental Health Center, Inc. CurrentSince Jan 25, 2023 Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Aug 1, 2024 Accepting new patients

Locations

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

4308 Harford Rd
Baltimore, MD 21214
Phone (410) 426-5650

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Interoperability endpoints

  • Direct secure messaging: oogeyingbo648478@direct.umm.edu

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1033868153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 NORVELLE CT",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616121",
            "telephone_number": "301-592-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 NORVELLE CT",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616121",
            "telephone_number": "301-592-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGEYINGBO",
        "first_name": "OPEMIPO",
        "middle_name": "DOYIN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R207236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.