Individual provider Active NPI

Fausat F Olayiwola, FNP-BC

  • Nurse Practitioner
  • Clinton, MD
National Provider Identifier
1831857218
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R211081 Issued in MD
Practice address
7700 Old Branch Ave
Clinton, MD 20735-1628
Phone
(301) 868-7121
NPI assigned
Dec 2, 2021
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R211081 MD Primary

Addresses

Primary practice location

7700 Old Branch Ave
Clinton, MD 20735-1628

Mailing address

7700 Old Branch Ave
Clinton, MD 20735-1628
Phone (301) 868-7121

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Clinton

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
I20220813000035 MD Practitioner - Nurse Practitioner 3870976517 Reassigns benefits to 4 organizations
I20220813000092 DC Practitioner - Nurse Practitioner 3870976517 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MNR Industries, LLCGroup PAC ID 7416908843, 142 clinicians
First Call Medical Center LLCGroup PAC ID 5496091290, 28 clinicians
Centennial Medical Group, PAGroup PAC ID 2668466038, 34 clinicians

Practice addresses (Care Compare)

10416 Campus Way S
Expresscare of Largo
Largo, MD 20774-1390
Phone (301) 316-9620

10981 Johns Hopkins Rd
Laurel, MD 20723-6002
Phone (410) 694-7999

1307 Merritt Blvd
Dundalk, MD 21222-2109
Phone (410) 288-2121

1354 Eastern Blvd
Expresscare of Essex
Essex, MD 21221-3423
Phone (443) 231-5203

1505 E Churchville Rd
Bel Air, MD 21014-4742

153 Ritchie Hwy
Severna Park, MD 21146-1116
Phone (410) 554-0571

15646 Old Columbia Pike
Burtonsville, MD 20866-1630
Phone (301) 421-1214

3815 Wilkens Ave
Expresscare of Wilkens
Baltimore, MD 21229-5036
Phone (667) 212-5920

4009 N Point Blvd
105 Expresscare of North Point
Dundalk, MD 21222-3619
Phone (410) 477-1039

4900 Beaver Run CT
Ellicott City, MD 21043-7917
Phone (443) 542-9630

5400 Ritchie Hwy
Brooklyn, MD 21225-3443
Phone (443) 457-6694

6000 Laurel Bowie Rd
Bowie, MD 20715-4000
Phone (301) 383-0330

6250 Old Dolbbin Lane
Columbia, MD 21045-5816
Phone (410) 730-3399

7566 Ridge Rd
Hanover, MD 21076-1373
Phone (410) 904-5910

885 State Route 3 N
Expresscare of Gambrills
Gambrills, MD 21054-1620
Phone (443) 302-2297

Merit-based Incentive Payment System (MIPS)

Final score
53.05 of 100Reported as group
Quality
49.52
Promoting interoperability
0
Improvement activities
40
Cost
77.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R211081MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC Current Accepting new patients
Centennial Medical Group, PA Family Medicine Current Accepting new patients
MNR Industries, LLC CurrentSince Aug 1, 2022 Accepting new patients
Centennial Medical Group, PA Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Centennial Medical Group, PA Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
MNR Industries, LLC Current Accepting new patients
CRH MD Management LLC CurrentSince Oct 19, 2024 Accepting new patients
MNR Industries, LLC CurrentSince Aug 1, 2022 Accepting new patients
CRH MD Management LLC CurrentSince Oct 19, 2024 Accepting new patients
CRH MD Management, LLC CurrentSince Oct 19, 2024 Accepting new patients
First Call Medical Center LLC CurrentSince Sep 1, 2024 Accepting new patients
First Call Medical Center LLC CurrentSince Sep 1, 2024 Accepting new patients
First Call Medical Center LLC CurrentSince Sep 1, 2024 Accepting new patients
MNR Industries, LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

15646 Old Columbia Pike
Burtonsville, MD 20866
Phone (301) 421-1214

6230 Old Dobbin Ln
Ste 230
Columbia, MD 21045
Phone (443) 312-2111

6250 Old Dobbin Ln
Columbia, MD 21045

10120 Baltimore National Pike
Ellicott City, MD 21042
Phone (410) 694-7999

10981 Johns Hopkins Rd
Laurel, MD 20723
Phone (410) 694-7999

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

750 Rockville Pike
Rockville, MD 20852
Phone (301) 424-0658

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1831857218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 OLD BRANCH AVE",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351628",
            "telephone_number": "301-868-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 OLD BRANCH AVE",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351628",
            "telephone_number": "301-868-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAYIWOLA",
        "first_name": "FAUSAT",
        "middle_name": "F",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2025-09-11",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R211081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Clinton",
            "affiliation": "N",
            "address_1": "7700 Old Branch Ave",
            "city": "Clinton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207351628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.