Wakeelat A Adeoye
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Baltimore, MD
NPI 1497317853 · NPPES record last updated Apr 12, 2022
Key facts
- NPI
- 1497317853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- R214863 (MD)
- Practice address
- 5411 0LD Fredrick Rd
Suite 7
Baltimore, MD 21229 - Phone
- (202) 415-0285
- NPI assigned
- Jul 5, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
15601 Peach Orchard Way
Bowie, MD 20716-1543
Phone (443) 200-3653
1657 Whitehead CT
FL 1
Baltimore, MD 21207-4037
Phone (443) 200-3653
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- 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 |
|---|---|---|---|---|
| I20191104000903 | MD | Practitioner - Nurse Practitioner | 5597097006 | Reassigns benefits to 1 organization |
| I20200826001093 | DC | Practitioner - Nurse Practitioner | 5597097006 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blossom Care and Behavioral Services Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R214863 | MD | Yes |
Addresses
Primary practice location
5411 0LD Fredrick Rd
Suite 7
Baltimore, MD 21229
Mailing address
1177 Annapolis Rd Ste 233
Odenton, MD 21113
Phone (202) 415-0285
Other practice location 1
1657 Whitehead Ct
Baltimore, MD 21207-4037
Phone (443) 200-3653
Other providers in Baltimore, MD
- Damilola Fasugba Adeniji
- Abdullahi Adewale Adenola
- Olakunle A Adenugba
- David Adeoye
- Simi Adeoye
- Adepec Inc
- Adeyinka A Adepoju
- Eniola Adepoju
- Senami Adepoju
- Adept Therapy Services, LLC
All providers in Baltimore, MD · Psychiatric/Mental Health Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2022. 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.