Individual provider Active NPI

Anita Uche Akewusola, CRNP

  • Family Nurse Practitioner
  • Pasadena, MD
National Provider Identifier
1407633274
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08230873 Issued in MD
Practice address
2528 Mountain Rd Ste 101
Pasadena, MD 21122-7202
Phone
(443) 798-7778
NPI assigned
Sep 13, 2023
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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 F08230873 MD Primary

Addresses

Primary practice location

2528 Mountain Rd Ste 101
Pasadena, MD 21122-7202

Mailing address

2528 Mountain Rd Ste 101
Pasadena, MD 21122-7202
Phone (443) 798-7778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231211001428 MD Practitioner - Nurse Practitioner 2668821034 Reassigns benefits to 3 organizations
I20231211002310 DC Practitioner - Nurse Practitioner 2668821034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2528 Mountain Rd
Suite 101
Pasadena, MD 21122-7202
Phone (443) 798-7778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F08230873MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Medical Group LLC CurrentSince Feb 1, 2024 Accepting new patients
Synergy Medical Group LLC CurrentSince Dec 31, 2023 Accepting new patients
Evolve Health Partners CurrentSince Oct 14, 2024 Accepting new patients
Alignmed Partners, PC CurrentSince Nov 18, 2023 Accepting new patients
Synergy Medical Group LLC CurrentSince Dec 31, 2023 Accepting new patients
Synergy Medical Group LLC Current Accepting new patients

Locations

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

7232 German Hill Rd
Dundalk, MD 21222
Phone (410) 282-6310

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

2528 Mountain Rd
Ste 100
Pasadena, MD 21122

2528 Mountain Rd
Ste 101
Pasadena, MD 21122
Phone (443) 798-7778

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

1205 York Rd
Ste 11
Timonium, MD 21093
Phone (443) 325-0031

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1407633274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 MOUNTAIN RD STE 101",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211227202",
            "telephone_number": "443-798-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 MOUNTAIN RD STE 101",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211227202",
            "telephone_number": "443-798-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKEWUSOLA",
        "first_name": "ANITA",
        "middle_name": "UCHE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "F08230873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.