Oluremi Olufisola Adedapo, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Randallstown, MD
NPI 1548770720 · NPPES record last updated Mar 30, 2023
Key facts
- NPI
- 1548770720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- R169785 (MD)
- Practice address
- 3412A Carroll Ave
Randallstown, MD 21133-3917 - Phone
- (443) 286-5401
- Fax
- (443) 405-3514
- NPI assigned
- Oct 2, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Psych Associates of Maryland LLC
Practice addresses (Care Compare)
120 Sister Pierre Dr
Suite 403
Towson, MD 21204-7536
Phone (410) 823-6408
9715 Medical Ctr Dr
Suite 528
Rockville, MD 20850-3352
Phone (410) 823-6408
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 |
|---|---|---|---|---|
| I20180720002268 | MD | Practitioner - Nurse Practitioner | 1951658996 | Reassigns benefits to 2 organizations |
| I20240508003551 | DC | Practitioner - Nurse Practitioner | 1951658996 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R169785 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choice Health Systems LLC | Current |
Accepting new patients | |
| Psych Associates of Maryland LLC | Current |
Accepting new patients | |
| Neta, Inc. | Current |
Accepting new patients | |
| Choice Health Systems LLC | Past | Accepting new patients | |
| Choice Health Systems LLC | Past | Accepting new patients |
Locations
2261 Reisterstown Rd
Baltimore, MD 21217
Phone (443) 286-5401
4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (240) 531-2799
9891 Broken Land Pkwy
Ste 210
Columbia, MD 21046
Phone (667) 220-7868
9715 Medical Center Dr
Ste 528
Rockville, MD 20850
Phone (301) 340-1355
1954 Greenspring Dr
Ste 530
Timonium, MD 21093
Phone (240) 441-9858
2331 York Rd
Ste 100
Timonium, MD 21093
1447 York Rd
Ste 601
Timonium, MD 21093
Phone (667) 220-0097
120 Sister Pierre Dr
Ste 403
Towson, MD 21204
Interoperability endpoints
- bloomhealthcenters.oluremiadedapo@131200.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R169785 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R169785 | MD | Yes |
Addresses
Primary practice location
3412A Carroll Ave
Randallstown, MD 21133-3917
Mailing address
3412A Carroll Ave
Randallstown, MD 21133-3917
Phone (443) 286-5401
Other providers in Randallstown, MD
- Active Day MD, Inc.
- Acupuncture Works LLC
- Dominique Adams
- Raymonda Alfreda Adams
- Dennis James Addison
- Olufunmilayo Iyabode Adedayo
- Adela Nursing Services Inc
- Janet Oluwabukunmi Adeola
- Adebola Adereti
- Busoye Adeyanju
All providers in Randallstown, 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 Mar 30, 2023. 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.