NUGAHEALTH PRIMARY CARE LLC
NPI 1053959411
Clinic/Center in Ellicott City, MD
About Nugahealth Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NUGAHEALTH PRIMARY CARE LLC (NPI 1053959411) is a healthcare organization registered as a clinic/center in Ellicott City, Maryland and active in the NPI registry since December 2019. The organization lists Omobolanle M Adenuga, Crnp-f, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nugahealth Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Nugahealth Primary Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Ellicott City, MD 21043
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 Nugahealth Primary Care LLC's NPI number?
The NPI number for Nugahealth Primary Care LLC is 1053959411. It was assigned to this organization in the NPPES registry on December 17, 2019.
Where is Nugahealth Primary Care LLC located?
Nugahealth Primary Care LLC is located at 3565 Ellicott Mills Dr Ste B2, Ellicott City, MD 21043. The listed phone number is (443) 282-3413.
What is Nugahealth Primary Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Nugahealth Primary Care LLC enrolled in Medicare?
Yes. Nugahealth Primary Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nugahealth Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Nugahealth Primary Care LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Nugahealth Primary Care LLC was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Nugahealth Primary Care Llc · NPI 1053959411
Clinic/Center organization in Ellicott City, Maryland. Organization record, active in the CMS NPPES registry since December 17, 2019.
## Identity
- **NPI:** 1053959411 (Entity type: Organization)
- **Enumerated:** December 17, 2019
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Omobolanle Adenuga, CRNP-F
## Practice location
- **Address:** 3565 ELLICOTT MILLS DR STE B2, Ellicott City, MD 21043-4549
- **Phone:** (443) 282-3413 · **Fax:** (443) 276-7475
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1053959411) · Data from the CMS NPPES public registry.