Ayodeji S Oyewole, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Dummerston, VT
NPI 1124814686 · NPPES record last updated Sep 1, 2026
Key facts
- NPI
- 1124814686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 101.0137857 (VT)
- Practice address
- 22 Anna Marsh LN
Dummerston, VT 05301-3292 - Phone
- (802) 258-3737
- NPI assigned
- Apr 18, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brattleboro Retreat
Practice addresses (Care Compare)
22 Anna Marsh LN
Dummerston, VT 05301-3292
Phone (802) 258-4391
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250731000603 | VT | Practitioner - Nurse Practitioner | 8527576727 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101.0137857 | VT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brattleboro Retreat | Current |
Accepting new patients |
Locations
22 Anna Marsh Ln
Dummerston, VT 05301
Phone (802) 258-3700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 101.0137857 | VT | Yes |
Addresses
Primary practice location
22 Anna Marsh LN
Dummerston, VT 05301-3292
Mailing address
156 Sherwood Cir
Brattleboro, VT 05301-8840
Phone (802) 289-2806
Other practice location 1
156 Sherwood Cir
Brattleboro, VT 05301-8840
Phone (802) 289-2806
Other providers in Dummerston, VT
- Lauren Elizabeth Fenstermaker
- Charles Glass
- Duncan Hanrahan
- Alex J Holding
- Anuj Mehta
- Beth Rachlin
- Herbert F Rest
- Seiyu Institute for Health & Training, L3C
- Arianna Shimits
- Kali Strickland
All providers in Dummerston, VT · Psychiatric/Mental Health Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.