Active NPI
Andrea Ajogun, CRNP
- Family Nurse Practitioner
- Randallstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R180489
- Practice address
- 3510 Brenbrook Dr
Randallstown, MD 21133-4902 - Phone
- (410) 837-2050
- Fax
- (410) 496-6448
- NPI assigned
- Jan 22, 2019
- Last updated
- Dec 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R180489 | MD | Primary |
Addresses
Primary practice location
3510 Brenbrook Dr
Randallstown, MD 21133-4902
Mailing address
3510 Brenbrook Dr
Randallstown, MD 21133-4902
Phone (410) 837-2050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, OH, WV, IN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Chase Brexton Health Services Inc
Practice addresses (Care Compare)
100 Heartland Dr
Beckley, WV 25801-2655
Phone (304) 256-1650
100 Laurel Dr
Elkton, MD 21921-5328
Phone (410) 398-8800
100 Pkwy Dr
Clarksburg, WV 26301-4357
Phone (304) 624-6401
101 Potters LN
Clarksville, IN 47129-1017
Phone (812) 948-0808
105 Time SQ
Salisbury, MD 21801-2808
Phone (410) 749-2474
1053 Clinic Dr
Ivydale, WV 25113-8266
Phone (304) 286-4204
10797 Seneca TRL S
Lindside, WV 24951-7345
Phone (304) 753-4332
1111 N Charles St
Baltimore, MD 21201-5505
Phone (410) 837-2050
1115 Maplewood Ave
Lewisburg, WV 24901-9728
Phone (304) 645-3076
1209 Indiana Ave
Saint Marys, OH 45885-1310
Phone (419) 394-7611
1234 Washington Rd
Westminster Healthcare Center
Westminster, MD 21157-5854
Phone (410) 848-0700
1263 S George St
Charles Town, WV 25414-4384
Phone (304) 725-6575
133 Rollins Ave
Suite 3
Rockville, MD 20852-4040
Phone (800) 557-8950
135 Southern Dr
Keyser, WV 26726-2010
Phone (304) 788-3415
1390 King Tree Dr
Dayton, OH 45405-1401
Phone (937) 278-0723
144 Washington Rd
South River Healthcare Center
Edgewater, MD 21037-1412
Phone (410) 956-5000
145 W Ostend St
Suite 600
Baltimore, MD 21230-3774
Phone (800) 557-8950
14751 Carey Rd
Carmel, IN 46033-9084
Phone (317) 575-2208
150 Venus Rd
Gary, WV 24836-0220
Phone (304) 448-2121
155 Heritage Woods Dr
Copley, OH 44321-1398
Phone (330) 666-0980
183 Holbrook Rd
Buckhannon, WV 26201-0029
Phone (304) 472-3280
18840 Falling Water Rd
Strongsville, OH 44136-4200
Phone (440) 238-1100
1924 Glenwood Park Rd
Princeton, WV 24739-7969
Phone (304) 425-8128
198 John Cook Nursing Home Rd
Hinton, WV 25951-5074
Phone (304) 466-0332
2 Hospital PLZ
Grafton, WV 26354-1283
Phone (304) 265-0008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R180489 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Acute Telehealth PC | Family | Current | Accepting new patients |
| Maryland Medical Specialists Inc | Current | Accepting new patients | |
| PA Post Acute Services PC | Current | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| Sinai Hospital of Baltimore, Inc. | Current | Accepting new patients | |
| Chase Brexton Health Services, Inc. | Current | Accepting new patients | |
| Care Talk Health FL PA | Current | Accepting new patients | |
| CNP Operating Co LLC | Current | Accepting new patients | |
| Chase Brexton Health Services, Inc. | Current | Accepting new patients | |
| Jaye Healthcare | Current | Accepting new patients | |
| Scholar Medical Group MD LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1140 3rd St NE
Washington, DC 20002
Phone (202) 935-1033
1111 N Charles St
Baltimore, MD 21201
Phone (410) 486-5991
145 W Ostend St
Ste 600
Baltimore, MD 21230
Phone (240) 542-8509
1800 N Charles St
Ste 208
Baltimore, MD 21201
Phone (410) 234-2727
2435 W Belvedere Ave
Ste 22
Baltimore, MD 21215
Phone (410) 601-6340
2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632
2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100
3 Bethesda Metro Ctr
Ste 700
Bethesda, MD 20814
Phone (240) 292-8319
4849 Rugby Ave
Bethesda, MD 20814
Phone (240) 817-7500
4 W Rolling Xrds
Ste 100
Catonsville, MD 21228
Phone (410) 869-0100
207 Wise Ave
Dundalk, MD 21222
Phone (410) 284-1004
100 Laurel Dr
Elkton, MD 21921
Phone (410) 398-8800
3510 Brenbrook Dr
Randallstown, MD 21133
Phone (410) 496-6441
133 Rollins Ave
Ste 3
Rockville, MD 20852
Phone (202) 935-1033
105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474
6901 Security Blvd
Ste 200
Windsor Mill, MD 21244
6700 Columbia Pike
Annandale, VA 22003
Phone (703) 256-7000
Organizations & group practices 13
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.
-
- Public Health & General Preventive Medicine Physician
- Bethesda, MD
- NPI 1477263077
-
- Primary Care Clinic/Center
- Catonsville, MD
- NPI 1598479271
-
- Surgical Critical Care Physician
- Baltimore, MD
- NPI 1043235666
-
dba Chase Brexton Health Care
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1588606305
-
dba Chase Brexton Health Care
- Federally Qualified Health Center (FQHC)
- Columbia, MD
- NPI 1376589309
-
- Multi-Specialty Clinic/Center
- Salisbury, MD
- NPI 1518386739
-
- Clinic/Center
- Rockville, MD
- NPI 1639796428
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1255359782
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
- General Practice Physician
- Masury, OH
- NPI 1255057063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1902360118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3510 BRENBROOK DR",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211334902",
"telephone_number": "410-837-2050",
"fax_number": "410-496-6448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 BRENBROOK DR",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211334902",
"telephone_number": "410-837-2050",
"fax_number": "410-496-6448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJOGUN",
"first_name": "ANDREA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-22",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R180489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Randallstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.