Individual provider Active NPI

Olusola Aina Essien, CRNP

  • Family Nurse Practitioner
  • Ellicott City, MD
National Provider Identifier
1750896437
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R185014 Issued in MD
Practice address
3214 Birchmede Dr
Ellicott City, MD 21042-2302
Phone
(443) 687-2372
NPI assigned
Dec 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R185014 MD Primary

Addresses

Primary practice location

3214 Birchmede Dr
Ellicott City, MD 21042-2302

Mailing address

3214 Birchmede Dr
Ellicott City, MD 21042-2302
Phone (443) 687-2372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180326000055 MD Practitioner - Nurse Practitioner 0941562375 Reassigns benefits to 3 organizations
I20200603002334 DC Practitioner - Nurse Practitioner 0941562375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

821 N Eutaw St
Suite 308
Baltimore, MD 21201-6303
Phone (410) 383-2072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R185014MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Symphony Medical Associates, PA CurrentSince Nov 20, 2023 Accepting new patients
Five Star Physician Services, LLC CurrentSince Sep 27, 2020 Accepting new patients
Post Acute Health Care Services LLC Past Accepting new patients

Locations

821 N Eutaw St
Ste 308
Baltimore, MD 21201
Phone (410) 383-2072

8700 Jones Mill Rd
Chevy Chase, MD 20815
Phone (301) 350-5555

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

785 Elkridge Landing Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 323-3014

7 Sudbrook Ln
Pikesville, MD 21208
Phone (410) 205-8440

303 Adclare Rd
Rockville, MD 20850
Phone (301) 279-9000

6600 Ridge Rd
Rosedale, MD 21237
Phone (410) 574-4950

Organizations & group practices 4

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": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1750896437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 BIRCHMEDE DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422302",
            "telephone_number": "443-687-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 BIRCHMEDE DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422302",
            "telephone_number": "443-687-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSIEN",
        "first_name": "OLUSOLA",
        "middle_name": "AINA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R185014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.