Bimpe O Adedo, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Owings Mills, MD
NPI 1497573406 · NPPES record last updated Sep 30, 2024
Key facts
- NPI
- 1497573406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- R251812 (MD)
- Practice address
- 9717 Bon Haven LN
Owings Mills, MD 21117-7410 - Phone
- (443) 929-5350
- NPI assigned
- Sep 30, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10902 Reisterstown Rd
Owings Mills, MD 21117-2482
9717 Bon Haven LN
Owings Mills, MD 21117-7410
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R251812 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Spring Resources Inc | Current |
Accepting new patients | |
| Living Spring Behavioral Healthcare Services LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R251812 | MD | Yes |
Addresses
Primary practice location
9717 Bon Haven LN
Owings Mills, MD 21117-7410
Mailing address
9717 Bon Haven LN
Owings Mills, MD 21117-7410
Phone (443) 929-5350
Other providers in Owings Mills, MD
- Amber Michelle Adami
- Ariel Adams
- Jessica E Adams
- Gail Addis
- Adetimbo Adediran
- Ibukunoluwa Adedo
- Adesola Adefowoju
- Adekomi Psychiatric Services LLC
- Adekomi Psychiatric Services LLC
- Morenike Adekunbi
All providers in Owings Mills, 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 Sep 30, 2024. 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.