Nugahealth Primary Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NUGAHEALTH PRIMARY CARE LLC

Practice address

3565 Ellicott Mills Dr Ste B2
Ellicott City, MD 21043-4549

Phone

(443) 282-3413

Fax

(443) 276-7475

NPI assigned

Dec 17, 2019

Organization subpart

No

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

Authorized official

Name

Omobolanle M AdenugaNPI 1336796465

Title

CRNP-F

Phone

(443) 282-3413

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Omobolanle M. Adenuga, CRNP-F

  • Nurse Practitioner
  • Ellicott City, MD
  • NPI 1336796465
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1053959411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 ELLICOTT MILLS DR STE B2",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434549",
            "telephone_number": "443-282-3413",
            "fax_number": "443-276-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 ELLICOTT MILLS DR STE B2",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434549",
            "telephone_number": "443-282-3413",
            "fax_number": "443-276-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUGAHEALTH PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "ADENUGA",
        "authorized_official_first_name": "OMOBOLANLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CRNP-F",
        "authorized_official_telephone_number": "443-282-3413"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Nolte, DPT
• Julie Nottingham
• Jackie Anne Novak, RD
• Novus Pain Management - Maryland, LLC
• Ntiege Ntiege Kang, PHARMACIST
• Frederick Nepomuceno Nuguid, PT
• Aaliyah Nurideen
• Jeannette Kay Nussbaum, R.N.
• Nutrids, LLC
• Charles U Nwachukwu

• Clinic/Center in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.