Organization Active NPI

Upscale Healthcare Services LLC

  • Adult Health Nurse Practitioner
  • Owings Mills, MD
National Provider Identifier
1992443089
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
UPSCALE HEALTHCARE SERVICES LLC
Practice address
6 Park Center CT Ste 210
Owings Mills, MD 21117-5604
Phone
(410) 413-1628
Fax
(410) 413-1644
NPI assigned
May 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Augustina Olajumoke Opeewe-Ojo, DNP, AGNP, PMHNP-BCNPI 1457535437
Title
Nurse Practitioner; Ceo
Phone
(443) 271-3013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

6 Park Center CT Ste 210
Owings Mills, MD 21117-5604

Mailing address

6 Park Center CT Ste 210
Owings Mills, MD 21117-5604
Phone (410) 413-1628

Other names 1

  • NONE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230208000930 MD Part B Supplier - Clinic/Group Practice 2860864469 Receives reassigned benefits from 1 practitioner
Practice locations: Owings Mills, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1992443089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PARK CENTER CT STE 210",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175604",
            "telephone_number": "410-413-1628",
            "fax_number": "410-413-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PARK CENTER CT STE 210",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175604",
            "telephone_number": "410-413-1628",
            "fax_number": "410-413-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSCALE HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "OPEEWE-OJO",
        "authorized_official_first_name": "AUGUSTINA",
        "authorized_official_middle_name": "OLAJUMOKE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER; CEO",
        "authorized_official_telephone_number": "443-271-3013",
        "authorized_official_credential": "DNP, AGNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.