Individual provider Active NPI

Abimbola Idowu Ossai, PMHNP, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Halethorpe, MD
National Provider Identifier
1912607409
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R212442 Issued in MD
Practice address
1401 S Edgewood St Ste 100
Halethorpe, MD 21227-1145
Phone
(410) 275-0928
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R212442 MD Primary

Addresses

Primary practice location

1401 S Edgewood St Ste 100
Halethorpe, MD 21227-1145

Mailing address

PO Box 2531
Ellicott City, MD 21041-2531
Phone (410) 275-0928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251212000252 MD Practitioner - Nurse Practitioner 3971950189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resolution Health and Wellness CenterGroup PAC ID 4284081498, 5 clinicians

Practice addresses (Care Compare)

940 Madison Ave
L2
Baltimore, MD 21201-2113
Phone (410) 275-0928

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R212442MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Health and Wellness Current Accepting new patients

Organizations & group practices 2

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": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1912607409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2531",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210412531",
            "telephone_number": "410-275-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S EDGEWOOD ST STE 100",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212271145",
            "telephone_number": "410-275-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSSAI",
        "first_name": "ABIMBOLA",
        "middle_name": "IDOWU",
        "credential": "PMHNP, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R212442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Halethorpe, MD

Sources for this page

Verify at the official NPI Registry.