Oluwadamilola Fowowe, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP016164 Issued in PA

Practice address

680 Blair Mill Rd
Horsham, PA 19044-2223

Phone

(215) 902-9014

NPI assigned

May 9, 2016

Last updated

Dec 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, DE, OH, CT, NJ5 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 5

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vista Medical Services IncGroup PAC ID 5597743344, 31 clinicians

Restore 360 LLCGroup PAC ID 3678963246, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Restore 360 LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
  • NPI 1790350015
  Medicare reassignment Care Compare group NPD
• Vista Medical Services, Inc.

  • Psychiatry Physician
  • Bala Cynwyd, PA
  • NPI 1659452027

  DE

  Medicare reassignment Care Compare group NPD
• Prospect Health Access Network, Inc.

  • Emergency Medicine Physician
  • Chester, PA
  • NPI 1568819084
  Medicare reassignment NPD
• Connecticut Post Acute Medical Services 1 PC

  • Hospitalist Physician
  • Derby, CT
  • NPI 1558890467
  Medicare reassignment NPD
• De Pacs 2 PA

  • Hospitalist Physician
  • Hockessin, DE
  • NPI 1457837981
  Medicare reassignment NPD
• Delaware Post Acute Medical Services 1

  • Hospitalist Physician
  • Wilmington, DE
  • NPI 1801325717
  Medicare reassignment NPD
• Inpatient Consultants of Pennsylvania PC

  • Hospitalist Physician
  • Newark, DE
  • NPI 1033376231

  PA

  Medicare reassignment NPD
• New Jersey Post Acute Medical Services 1 PA

  • Hospitalist Physician
  • Red Bank, NJ
  • NPI 1578092391
  Medicare reassignment NPD
• NJ Pacs 2 PA

  • Hospitalist Physician
  • Mendham, NJ
  • NPI 1740766195

  PA

  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  OH

  Medicare reassignment NPD
• Ohio Post-Acute Medical Services 1 Inc

  • Family Medicine Physician
  • Englewood, OH
  • NPI 1215475199
  Medicare reassignment NPD
• Ma Pacs 2 PC

  • Hospitalist Physician
  • Chelsea, MA
  • NPI 1265918791

  CT

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1760838783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 BLAIR MILL RD",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BLAIR MILL RD",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442223",
            "telephone_number": "215-902-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWOWE",
        "first_name": "OLUWADAMILOLA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016164",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP016164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Fisher
• Patricia Fitzgerald
• Focus Express Mail Pharmacy Inc
• Janee Fonslick, MD
• Erica Michele Forrey, CRNP
• Ashley Fox
• Paul C. Frake, M.D.
• Anthony Nicholas Frasca Jr.
• Elizabeth Rae Frederick
• Freedom Management Services LLC (Prosthetic Orthotic Solutions International)

• Psychiatric/Mental Health Nurse Practitioner in Horsham, PA
• Providers in Horsham, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.