Active NPI
Augustina Olajumoke Opeewe-Ojo, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Owings Mills, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R131119
- Practice address
- 6 Park Center CT Ste 210
Owings Mills, MD 21117-5604 - Phone
- (410) 413-1628
- Fax
- (410) 413-1644
- NPI assigned
- Dec 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN1010097 | DC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R131119 | MD | Primary |
Addresses
Primary practice location
6 Park Center CT Ste 210
Owings Mills, MD 21117-5604
Mailing address
2007 Pawnee Rd
Middle River, MD 21220-3678
Phone (443) 271-3013
Other practice location 1
3627 Old Milford Mill Rd
Windsor Mill, MD 21244-3725
Phone (443) 271-3013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 414110500 | Medicaid | MD |
Other names 1
- Augustina Olajumoke Opeewe
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6 Park Ctr CT
Suite 210
Owings Mills, MD 21117-5604
Phone (410) 413-1628
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1010097 | DC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associate Healthcare Services LLC | Multi-Specialty | Current | Accepting new patients |
| Upscale Healthcare Services LLC | Multi-Specialty | Current | Accepting new patients |
| Parkway Medical Association LLC | Psychiatric/Mental Health | Past | Accepting new patients |
| Comprehensive Integrated Allied Healthcare Services, LLC | Past | Accepting new patients | |
| Gold Shield Medical Services LLC | Multi-Specialty | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
6 Park Center Ct
Ste 210
Owings Mills, MD 21117
Phone (410) 413-1628
Organizations & group practices 6
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.
-
dba AGNP Healthcare Services
- Psychiatric/Mental Health Nurse Practitioner
- Owings Mills, MD
- NPI 1891420923
Multi-Specialty
-
dba None
- Adult Health Nurse Practitioner
- Owings Mills, MD
- NPI 1992443089
Multi-Specialty
-
dba Self
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Owings Mills, MD
- NPI 1871055616
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Internal Medicine Physician
- Glen Burnie, MD
- NPI 1881201184
Multi-Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Glen Burnie, MD
- NPI 1831846070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1457535437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 PAWNEE RD",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212203678",
"telephone_number": "443-271-3013",
"fax_number": "443-505-8627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 PARK CENTER CT STE 210",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175604",
"telephone_number": "410-413-1628",
"fax_number": "410-413-1644"
}
],
"practiceLocations": [
{
"address_1": "3627 Old Milford Mill Rd",
"address_purpose": "LOCATION",
"city": "Windsor Mill",
"state": "MD",
"postal_code": "212443725",
"country_code": "US",
"telephone_number": "443-271-3013",
"fax_number": "410-655-2138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OPEEWE-OJO",
"first_name": "AUGUSTINA",
"middle_name": "OLAJUMOKE",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-26",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "DC",
"license": "RN1010097",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R131119",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "414110500",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AUGUSTINA",
"last_name": "OPEEWE",
"middle_name": "OLAJUMOKE",
"credential": "RN, BSN, MSN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.