MODINAT OLUWATOYIN FAGBENRO PMHNP-BC
NPI 1063061034
Nurse Practitioner - Psychiatric/Mental Health in Lutherville Timonium, MD

Active since September 11, 2019PECOS EnrolledAccepts Medicare Assignment
22 W PADONIA RD STE C252, LUTHERVILLE TIMONIUM, MD 21093(410) 768-6088(410) 768-6444 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2026, Oct 23, 2020, Sep 11, 2019 (3 updates tracked since 2019).

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

NPI1063061034
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMODINAT OLUWATOYIN FAGBENROCredential: PMHNP-BC
Location Address22 W PADONIA RD STE C252Lutherville Timonium, MD 21093-2241
Mailing Address4105 Daylily DrOwings Mills, MD 21117-5034 · (410) 800-4471
Fax(410) 768-6444
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 11, 2019
Last NPPES UpdateJanuary 20, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
NPI 1063061034 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
License Licensed in MD · R210603
22 W PADONIA RD STE C252, Lutherville Timonium, MD 21093

Secondary Practice Location 1

Location 14105 Daylily DrOwings Mills, MD 21117-5034 · Phone (410) 800-4471

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4880017664
PECOS Enrollment IDI20200713001852
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
22 W PADONIA RD STE C252
LUTHERVILLE TIMONIUM, MD 21093
Nurse Practitioner (Family)
22 W PADONIA RD STE C252
LUTHERVILLE TIMONIUM, MD 21093
Nurse Practitioner (Psychiatric/Mental Health)
22 W PADONIA RD STE C252
LUTHERVILLE TIMONIUM, MD 21093
Nurse Practitioner (Family)
22 W PADONIA RD STE C252
LUTHERVILLE TIMONIUM, MD 21093
Nurse Practitioner (Psychiatric/Mental Health)
22 W PADONIA RD STE C252
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.

What insurance does Modinat Fagbenro accept?

Health plans from Providence Health Plan list Modinat Fagbenro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 6 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.