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OMOLOLA OLUWASEUN OGUNGBILE CRNP
NPI 1073491106
Nurse Practitioner in Pasadena, MD

Active since August 26, 2025PECOS Enrolled
8015 APPLE VALLEY DR, PASADENA, MD 21122(410) 841-9998 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Omolola Oluwaseun Ogungbile Crnp NPPES

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

OMOLOLA OLUWASEUN OGUNGBILE CRNP (NPI 1073491106) is an individual nurse practitioner in Pasadena, Maryland, licensed in Maryland (R191701) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1073491106
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameOMOLOLA OLUWASEUN OGUNGBILECredential: CRNP
Location Address8015 APPLE VALLEY DRPasadena, MD 21122-4174
Mailing Address7736 Rotherham DrHanover, MD 21076-1460 · (410) 841-9998 · Fax (410) 841-9998
Phone(410) 841-9998
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1073491106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MD · R191701
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8015 APPLE VALLEY DR, Pasadena, MD 21122
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omolola Oluwaseun Ogungbile Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365932795
PECOS Enrollment IDI20251105001750
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 21122 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 6

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

BRITTANY LAUREN PEED
Nurse Practitioner (Family)
8015 APPLE VALLEY DR
PASADENA, MD 21122
Anne Arundel County (410) 255-0102
MICHELLE MCKENZIE SAKALA
Nurse Practitioner (Gerontology)
8015 APPLE VALLEY DR
PASADENA, MD 21122
Anne Arundel County (410) 255-0102
MELISSA FISHER CRNP
Nurse Practitioner (Adult Health)
8015 APPLE VALLEY DR
PASADENA, MD 21122
Anne Arundel County (410) 255-0102
MS. KELLY WOJCIECHOWSKI
Nurse Practitioner (Family)
8015 APPLE VALLEY DR
PASADENA, MD 21122
Anne Arundel County (410) 255-0102
KAREN JEAN SROKA GNP
Nurse Practitioner (Gerontology)
8015 APPLE VALLEY DR
PASADENA, MD 21122
Anne Arundel County (410) 255-0102
MRS. MEGAN MARISA LABELLE CRNP
Nurse Practitioner (Family)
8015 APPLE VALLEY DR
PASADENA, MD 21122
Anne Arundel County (443) 694-5555

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 Omolola Ogungbile's NPI number?

The NPI number for Omolola Ogungbile is 1073491106. It was assigned to this individual provider in the NPPES registry on August 26, 2025.

Where is Omolola Ogungbile located?

Omolola Ogungbile practices at 8015 Apple Valley Dr, Pasadena, MD 21122. The listed phone number is (410) 841-9998.

What is Omolola Ogungbile's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Omolola Ogungbile enrolled in Medicare?

Yes. Omolola Ogungbile is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Omolola Ogungbile was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.