Individual provider Active NPI

Hakim Ogunsanya, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Marriottsville, MD
National Provider Identifier
1992166193
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R184091 Issued in MD
Practice address
12001 Margaret CT
Marriottsville, MD 21104-1443
Phone
(301) 906-7349
NPI assigned
Mar 15, 2016
Last updated
Nov 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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 R184091 MD Primary

Addresses

Primary practice location

12001 Margaret CT
Marriottsville, MD 21104-1443

Mailing address

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

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
I20160503000300 MD Practitioner - Nurse Practitioner 4587963111 Reassigns benefits to 2 organizations
I20240521001340 DC Practitioner - Nurse Practitioner 4587963111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 8628064151, 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 100Reported as group
Quality
50.53
Promoting interoperability
55
Improvement activities
40
Cost
82.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R184091MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Community Services, Inc. CurrentSince Apr 6, 2024 Accepting new patients
Way Station, Inc. Current Accepting new patients
Mosaic Community Services, Inc. Current Accepting new patients
Mosaic Community Services, Inc CurrentSince Apr 6, 2024 Accepting new patients
Family Services, Inc CurrentSince Apr 6, 2024 Accepting new patients
Family Services, Inc. CurrentSince Apr 6, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1992166193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 MARGARET CT",
            "city": "MARRIOTTSVILLE",
            "state": "MD",
            "postal_code": "211041443",
            "telephone_number": "301-906-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 MARGARET CT",
            "city": "MARRIOTTSVILLE",
            "state": "MD",
            "postal_code": "211041443",
            "telephone_number": "301-906-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNSANYA",
        "first_name": "HAKIM",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-15",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R184091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marriottsville, MD

Sources for this page

Verify at the official NPI Registry.