Individual provider Active NPI

Andrea Ajogun, CRNP

  • Family Nurse Practitioner
  • Randallstown, MD
National Provider Identifier
1902360118
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R180489 Issued in MD
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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 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, VA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20190424000905 MD Practitioner - Nurse Practitioner 9537401401 Reassigns benefits to 6 organizations
I20200408001145 DC Practitioner - Nurse Practitioner 9537401401 Reassigns benefits to 2 organizations
I20260324003863 OH Practitioner - Nurse Practitioner 9537401401 Reassigns benefits to 1 organization
I20260325004019 WV Practitioner - Nurse Practitioner 9537401401 Reassigns benefits to 1 organization
I20260406002776 IN Practitioner - Nurse Practitioner 9537401401 Reassigns benefits to 1 organization
I20260407002638 VA Practitioner - Nurse Practitioner 9537401401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Post Acute Telehealth PCGroup PAC ID 9638585391, 63 clinicians
Chase Brexton Health Services IncGroup PAC ID 5395644835, shared by 6 NPIs, 119 clinicians
Maryland Medical Specialists IncGroup PAC ID 2163820507, 10 clinicians
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians
Care Talk Health FL PAGroup PAC ID 3173995966, 31 clinicians

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

LicenseStateTypeSpecialty
R180489MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Telehealth PC Family CurrentSince Jan 27, 2026 Accepting new patients
Maryland Medical Specialists Inc CurrentSince Jun 1, 2022 Accepting new patients
PA Post Acute Services PC CurrentSince Jun 10, 2025 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Dec 6, 2025 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Dec 6, 2025 Accepting new patients
Chase Brexton Health Services, Inc. CurrentSince Feb 13, 2023 Accepting new patients
Care Talk Health FL PA CurrentSince Aug 1, 2025 Accepting new patients
CNP Operating Co LLC CurrentSince Jun 10, 2025 Accepting new patients
Chase Brexton Health Services, Inc. CurrentSince Feb 13, 2023 Accepting new patients
Jaye Healthcare CurrentSince Feb 16, 2025 Accepting new patients
Scholar Medical Group MD LLC CurrentSince Jun 25, 2020 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.

View all 13

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

Verify at the official NPI Registry.