Adesuwa Osagie

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

8580 Issued in CT

Practice address

7 Durant Ave
Bethel, CT 06801-1906

Phone

(203) 794-9500

NPI assigned

Mar 5, 2020

Last updated

Dec 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• MC Diagnostic of Connecticut, P.C.

  • Family Nurse Practitioner
  • Rocky Hill, CT
  • NPI 1386821932
  NPD

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1871128330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DURANT AVE",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011906",
            "telephone_number": "203-794-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DURANT AVE",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011906",
            "telephone_number": "203-794-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAGIE",
        "first_name": "ADESUWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felix Obeng
• Elizabeth Oconnor, RD
• Mary Ellen Oliva, OTR/L
• Optimum Regenerative Care LLC (Connecticut Centers For Neuropathy & Chronic Pain)
• Lorraine B Orloski, APRN
• Jamie Anthony Otfinoski, DPM
• Daniel Canio Pace, LCSW
• Anthony Peburn, PT
• Peppertree Counseling, LLC
• Joann M Perrotta, DMD

• Family Nurse Practitioner in Bethel, CT
• Providers in Bethel, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.