Hakim Ogunsanya, CRNP | NPI 1992166193

Key facts

NPI: 1992166193
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: R184091 (MD)
Practice address: 12001 Margaret CT
Marriottsville, MD 21104-1443
Phone: (301) 906-7349
NPI assigned: Mar 15, 2016
Sex: Male
Sole proprietor: Yes

Organizations & group practices 8

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.

Way Station, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Hagerstown, MD · NPI 1124490784

Medicare reassignment Care Compare group NPD MD
Family Services, Inc Child & Adolescent Psychiatry Physician · Gaithersburg, MD · NPI 1780641928

Medicare reassignment NPD DC
Mosaic Community Services, Inc. Adult Mental Health Clinic/Center · Timonium, MD · NPI 1265539142

Medicare reassignment NPD MD
Way Station Inc Multi-Specialty Clinic/Center · Columbia, MD · NPI 1104914464

Care Compare group
Family Services, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Gaithersburg, MD · NPI 1881218816

NPD
Mosaic Community Services, Inc Substance Use Disorder Rehabilitation Clinic/Center · Gaithersburg, MD · NPI 1710466313

NPD
Mosaic Community Services, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Frederick, MD · NPI 1073369591

NPD
Frederick Health Hospital Inc General Acute Care Hospital · Frederick, MD · NPI 1538165527

NPD (past)

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2013
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Way Station Inc (25 clinicians)

Practice addresses (Care Compare)

9030 State Route 108
Suite a
Columbia, MD 21045-1990
Phone (410) 740-1901

Merit-based Incentive Payment System (MIPS)

Final score: 73.74 of 100 (group)
Quality: 50.53
Promoting interoperability: 55
Improvement activities: 40
Cost: 82.77

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in MD, DC
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20160503000300	MD	Practitioner - Nurse Practitioner	4587963111	Reassigns benefits to 2 organizations
I20240521001340	DC	Practitioner - Nurse Practitioner	4587963111	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
R184091	MD	MD	Psychiatric/Mental Health Nurse Practitioner

Practice roles

Organization	Status	New patients
Family Services, Inc	Current since Apr 6, 2024	Accepting new patients
Family Services, Inc.	Current since Apr 6, 2024	Accepting new patients
Mosaic Community Services, Inc.	Current since Apr 6, 2024	Accepting new patients
Mosaic Community Services, Inc.	Current	Accepting new patients
Mosaic Community Services, Inc	Current since Apr 6, 2024	Accepting new patients
Way Station, Inc.	Current	Accepting new patients
Frederick Health Hospital Inc	Past	Accepting new patients

Locations

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

230 W Patrick St
Frederick, MD 21701
Phone (240) 215-6370

210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263

610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000

328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	R184091	MD	Yes

Addresses

Primary practice location

12001 Margaret CT
Marriottsville, MD 21104-1443

Mailing address

12001 Margaret CT
Marriottsville, MD 21104-1443
Phone (301) 906-7349

Other providers in Marriottsville, MD

Candice Mitchell, MS,LGPC,NCC
Moon Healing Acupuncture & Integrative Health LLC
Ghania Naeem, PHARM.D.
Next Step Therapy, LLC
NP Consultant, LLC
Raghu R Prabhu, RPH
Privia Medical Group, LLC
Privia Medical Group, LLC
Hannah Prochaska
Progressive Physical Therapy, LLC

All providers in Marriottsville, MD · Psychiatric/Mental Health Nurse Practitioner in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.