Active NPI
Nora Nwakego Agajelu, CRNP
- Adult Health Nurse Practitioner
- Glen Burnie, MD
National Provider Identifier
1053589028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R174033
- Practice address
- 85 Kindred Way
Apt 101
Glen Burnie, MD 21061-5246 - Phone
- (410) 553-6360
- Fax
- (410) 553-6661
- NPI assigned
- Feb 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R174033 | MD | |
| Gerontology Nurse Practitioner | 363LG0600X | R174033 | MD | |
| Adult Health Nurse Practitioner | 363LA2200X | R174033 | MD | Primary |
Addresses
Primary practice location
85 Kindred Way
Apt 101
Glen Burnie, MD 21061-5246
Mailing address
85 Kindred Way
Apt 101
Glen Burnie, MD 21061-5246
Phone (410) 553-6360
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nnaemeka Agajelu MD LLC | Current | Accepting new patients |
Locations
85 Kindred Way
Apt 101
Glen Burnie, MD 21061
Phone (410) 553-6360
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EAIICA/Endpoint/EAIICA
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Glen Burnie, MD
- NPI 1548449275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519171200000",
"number": "1053589028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 KINDRED WAY",
"address_2": "APT 101",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615246",
"telephone_number": "410-553-6360",
"fax_number": "410-553-6661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 KINDRED WAY",
"address_2": "APT 101",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615246",
"telephone_number": "410-553-6360",
"fax_number": "410-553-6661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGAJELU",
"first_name": "NORA",
"middle_name": "NWAKEGO",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-13",
"last_updated": "2018-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R174033",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MD",
"license": "R174033",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R174033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.