Individual provider Active NPI

Kemi Funlayo Ogunwusi, DNP, MSN, FNP-BC

  • Family Nurse Practitioner
  • Dover, DE
National Provider Identifier
1275116584
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0011654 Issued in DE
Practice address
888 S State St # a
Dover, DE 19901-4148
Phone
(302) 744-8438
Fax
(302) 744-8425
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0011654 DE Primary

Addresses

Primary practice location

888 S State St # a
Dover, DE 19901-4148

Mailing address

888 S State St
Dover, DE 19901-4148
Phone (302) 744-8438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20221109000439 DE Practitioner - Nurse Practitioner 8224405048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

888 S State St
Dover, DE 19901-4148
Phone (302) 744-8438

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG-0011654DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connectdcare Family Practice, LLC Family CurrentSince Nov 1, 2022 Accepting new patients
Firm Foundation Health and Wellness Center LLC CurrentSince Apr 6, 2025 Accepting new patients

Locations

888 S State St
Dover, DE 19901
Phone (302) 744-8438

888 S State St
#A
Dover, DE 19901

766 S State St
Dover, DE 19901
Phone (302) 735-7730

21 W Clarke Ave
Ste 1050
Milford, DE 19963
Phone (302) 300-5563

21 W Clarke Ave
Milford, DE 19963
Phone (302) 422-3311

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1275116584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014148",
            "telephone_number": "302-744-8438",
            "fax_number": "302-744-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S STATE ST # A",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014148",
            "telephone_number": "302-744-8438",
            "fax_number": "302-744-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNWUSI",
        "first_name": "KEMI",
        "middle_name": "FUNLAYO",
        "name_prefix": "Dr.",
        "credential": "DNP, MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.