Individual provider Active NPI

Augustina Olajumoke Opeewe-Ojo, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
National Provider Identifier
1457535437
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R131119 Issued in MD
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

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN1010097 DC
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
414110500MedicaidMD

Other names 1

  • Augustina Olajumoke Opeewe Former name

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
I20080404000318 MD Practitioner - Nurse Practitioner 2365529021 Reassigns benefits to 2 organizations
Practice locations: Owings Mills, MD

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

LicenseStateTypeSpecialty
RN1010097DCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associate Healthcare Services LLC Multi-Specialty CurrentSince Apr 16, 2023 Accepting new patients
Upscale Healthcare Services LLC Multi-Specialty CurrentSince Oct 1, 2022 Accepting new patients
Parkway Medical Association LLC Psychiatric/Mental Health PastSince Jun 3, 2025 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.

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

Verify at the official NPI Registry.