BLOSSOM CARE AND BEHAVIORAL SERVICES INC
NPI 1043834757
Nurse Practitioner - Psychiatric/Mental Health in Bowie, MD

Active since May 29, 2020
15601 PEACH ORCHARD WAY, BOWIE, MD 20716(202) 415-0285 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blossom Care And Behavioral Services Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOSSOM CARE AND BEHAVIORAL SERVICES INC (NPI 1043834757) is a healthcare organization registered as a psychiatric/mental health in Bowie, Maryland and active in the NPI registry since May 2020. The organization lists Wakeelat A Adeoye, President, as its authorized official.

NPPES Registry Identity

NPI1043834757
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBLOSSOM CARE AND BEHAVIORAL SERVICES INC
Location Address15601 PEACH ORCHARD WAYBowie, MD 20716-1543
Mailing Address15601 Peach Orchard WayBowie, MD 20716-1543 · (202) 415-0285
Organization SubpartNo
Authorized OfficialWakeelat A AdeoyePresident · (202) 415-0285
Enumeration DateMay 29, 2020
NPPES CertifiedMay 29, 2020
✔ NPI 1043834757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
15601 PEACH ORCHARD WAY, Bowie, MD 20716

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blossom Care And Behavioral Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Blossom Care And Behavioral Services Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1760251268
1221 MERCANTILE LN
Upper Marlboro, MD 20774
(301) 618-7121
✔ PECOS5.7 mi
Nurse Practitioner
NPI 1447678180
1657 WHITEHEAD CT
Baltimore, MD 21207
(443) 200-3653
✔ PECOS27 mi
Nurse Practitioner
NPI 1497317853
5411 0LD FREDRICK RD SUITE 7
Baltimore, MD 21229
(202) 415-0285
✔ PECOS✔ Accepts Medicare31 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blossom Care And Behavioral Services Inc's NPI number?

The NPI number for Blossom Care And Behavioral Services Inc is 1043834757. It was assigned to this organization in the NPPES registry on May 29, 2020.

Where is Blossom Care And Behavioral Services Inc located?

Blossom Care And Behavioral Services Inc is located at 15601 Peach Orchard Way, Bowie, MD 20716. The listed phone number is (202) 415-0285.

What is Blossom Care And Behavioral Services Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Blossom Care And Behavioral Services Inc enrolled in Medicare?

Yes. Blossom Care And Behavioral Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blossom Care And Behavioral Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Blossom Care And Behavioral Services Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blossom Care And Behavioral Services Inc was last updated on May 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.