Individual provider Active NPI

Oluwakemi Mary Oyefusi, APRN, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Catonsville, MD
National Provider Identifier
1124314646
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R185073 Issued in MD
Practice address
516 N Rolling Rd Ste 305
Catonsville, MD 21228-4142
Phone
(410) 302-7766
Fax
(888) 858-1741
NPI assigned
Jun 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 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 R185073 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R185073 MD Primary

Addresses

Primary practice location

516 N Rolling Rd Ste 305
Catonsville, MD 21228-4142

Mailing address

PO Box 66315
Baltimore, MD 21239-6315
Phone (410) 302-7766

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
I20250226001284 MD Practitioner - Nurse Practitioner 1456696194 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oaks Wellness Services LLC CurrentSince Feb 2, 2025 Accepting new patients
Sheppard Pratt Physicians, P.a. CurrentSince Feb 20, 2025 Accepting new patients

Locations

516 N Rolling Rd
Ste 305
Catonsville, MD 21228
Phone (240) 245-6948

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

Organizations & group practices 2

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1124314646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66315",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212396315",
            "telephone_number": "410-302-7766",
            "fax_number": "888-858-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD STE 305",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284142",
            "telephone_number": "410-302-7766",
            "fax_number": "888-858-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEFUSI",
        "first_name": "OLUWAKEMI",
        "middle_name": "MARY",
        "credential": "APRN, CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R185073",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R185073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.