MODINAT OLUWATOYIN FAGBENRO PMHNP-BC
NPI 1063061034
Nurse Practitioner - Psychiatric/Mental Health in Lutherville Timonium, MD
About Modinat Oluwatoyin Fagbenro Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MODINAT OLUWATOYIN FAGBENRO PMHNP-BC (NPI 1063061034) is an individual psychiatric/mental health provider in Lutherville Timonium, Maryland, licensed in Maryland (R210603) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Owings Mills, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Modinat Oluwatoyin Fagbenro Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Modinat Fagbenro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lutherville Timonium, MD 21093
- Reassigned Medicare billing, Maryland enrollment
- 4 clinicians in this Medicare group
Nottingham, MD 21236
- Reassigned Medicare billing, Maryland enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LUTHERVILLE TIMONIUM, MD 21093
LUTHERVILLE TIMONIUM, MD 21093
LUTHERVILLE TIMONIUM, MD 21093
LUTHERVILLE TIMONIUM, MD 21093
LUTHERVILLE TIMONIUM, MD 21093
LUTHERVILLE TIMONIUM, MD 21093
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 Modinat Fagbenro's NPI number?
The NPI number for Modinat Fagbenro is 1063061034. It was assigned to this individual provider in the NPPES registry on September 11, 2019.
Where is Modinat Fagbenro located?
Modinat Fagbenro practices at 22 W Padonia Rd Ste C252, Lutherville Timonium, MD 21093. The listed phone number is (410) 768-6088.
What is Modinat Fagbenro's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Modinat Fagbenro enrolled in Medicare?
Yes. Modinat Fagbenro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Modinat Fagbenro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Modinat Fagbenro reassigns Medicare benefits to 2 organizations: M & m Behavioral Health Systems (Lutherville Timonium, MD) and Harmony Counceling Center Inc (Nottingham, MD). Each 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 Modinat Fagbenro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Modinat Fagbenro was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Modinat Oluwatoyin Fagbenro, PMHNP-BC · NPI 1063061034
Psychiatric/Mental Health physician in Lutherville Timonium, Maryland. Individual provider, active in the CMS NPPES registry since September 11, 2019.
## Identity
- **NPI:** 1063061034 (Entity type: Individual)
- **Enumerated:** September 11, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R210603 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 22 W PADONIA RD STE C252, Lutherville Timonium, MD 21093-2241
- **Phone:** (410) 768-6088 · **Fax:** (410) 768-6444
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): M & m Behavioral Health Systems (NPI 1881219848, Lutherville Timonium, MD); Harmony Counceling Center Inc (NPI 1861981276, Nottingham, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063061034) · Data from the CMS NPPES public registry.