Individual provider Active NPI

Florence O Fakayode

  • Family Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1881255842
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R169935 Issued in MD
Practice address
300 Ballenger Center Dr
Frederick, MD 21703-7096
Phone
(301) 682-7213
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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 R169935 MD Primary

Addresses

Primary practice location

300 Ballenger Center Dr
Frederick, MD 21703-7096

Mailing address

300 Ballenger Center Dr
Frederick, MD 21703-7096
Phone (301) 682-7213

Other practice location 1

1232 Race Rd Ste 403
Rosedale, MD 21237-2386
Phone (443) 868-7101

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CVS Health Information Exchange (HIE)

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
I20200128002144 MD Practitioner - Nurse Practitioner 0244666956 Reassigns benefits to 3 organizations
I20201203000610 DC Practitioner - Nurse Practitioner 0244666956 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

1 CVS Dr
Woonsocket, RI 02895-6146

300 Ballenger Ctr Dr
Frederick, MD 21703-7096
Phone (866) 389-2727

3110 Olney Sandy Spring Rd
Olney, MD 20832-1408
Phone (886) 389-2727

7809 Wisconsin Ave
Bethesda, MD 20814-3523
Phone (886) 389-2727

7955 Tuckerman LN
Rockville, MD 20854-3243
Phone (886) 389-2727

799 Rockville Pike
Rockville, MD 20852-1136
Phone (886) 389-2727

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

Merit-based Incentive Payment System (MIPS)

Final score
77.37 of 100Reported as group
Quality
74
Improvement activities
40
Cost
72.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R169935MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CRH MD Management LLC CurrentSince Sep 22, 2023 Accepting new patients
Minuteclinic Primary Care Maryland LLC Family CurrentSince Jul 12, 2025 Accepting new patients
Viewpoint Wellness LLC CurrentSince Dec 13, 2020 Accepting new patients
CRH MD Management, LLC CurrentSince Sep 22, 2023 Accepting new patients
Minuteclinic LLC Family CurrentSince Aug 4, 2021 Accepting new patients
CRH MD Management LLC CurrentSince Sep 22, 2023 Accepting new patients
Post Acute Health Care Services LLC Past Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090

7809 Wisconsin Ave
Bethesda, MD 20814
Phone (301) 986-9144

10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191

300 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 682-7213

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

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

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

7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717

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

1232 Race Rd
Ste 403
Rosedale, MD 21237
Phone (480) 878-7806

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

1001 York Rd
Towson, MD 21204
Phone (410) 823-3900

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 7

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1881255842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BALLENGER CENTER DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037096",
            "telephone_number": "301-682-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BALLENGER CENTER DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037096",
            "telephone_number": "301-682-7213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1232 Race Rd Ste 403",
            "address_purpose": "LOCATION",
            "city": "Rosedale",
            "state": "MD",
            "postal_code": "212372386",
            "country_code": "US",
            "telephone_number": "443-868-7101",
            "fax_number": "443-732-0054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAKAYODE",
        "first_name": "FLORENCE",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R169935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CVS",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "300 Ballenger Center Dr",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217037096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.