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OLATUNJI ISMAIL IBERU-OLUSHOGA CRNP
NPI 1104497841
Nurse Practitioner - Family in Severn, MD

Active since July 04, 2021PECOS Enrolled
15.01/100
CMS Quality Rating
1509 FITZPATRICK DR, SEVERN, MD 21144(130) 172-8034 Get Directions Write a Review

NPPES record last updated: July 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olatunji Ismail Iberu-olushoga Crnp NPPES

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

OLATUNJI ISMAIL IBERU-OLUSHOGA CRNP (NPI 1104497841) is an individual family provider in Severn, Maryland, licensed in Maryland (R214785) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104497841
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameOLATUNJI ISMAIL IBERU-OLUSHOGACredential: CRNP
Location Address1509 FITZPATRICK DRSevern, MD 21144-3142
Mailing Address1509 Fitzpatrick DrSevern, MD 21144-3142 · (130) 172-8034
Phone(130) 172-8034
Sole ProprietorYes
Enumeration DateJuly 4, 2021
NPPES CertifiedJuly 4, 2021
✔ NPI 1104497841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R214785
1509 FITZPATRICK DR, Severn, MD 21144
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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)

Olatunji Ismail Iberu-olushoga Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,421 services200 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
681 services137 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
157 services126 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
71 services65 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
58 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21144 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

15.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost50.05

Other Providers at the Same Location NPPES

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

MERCY HEALTH PATHWAY LLC
Nurse Practitioner (Family)
1509 FITZPATRICK DR
SEVERN, MD 21144
Anne Arundel County (301) 728-0345

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 Olatunji Iberu-olushoga's NPI number?

The NPI number for Olatunji Iberu-olushoga is 1104497841. It was assigned to this individual provider in the NPPES registry on July 4, 2021.

Where is Olatunji Iberu-olushoga located?

Olatunji Iberu-olushoga practices at 1509 Fitzpatrick Dr, Severn, MD 21144. The listed phone number is (130) 172-8034.

What is Olatunji Iberu-olushoga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Olatunji Iberu-olushoga enrolled in Medicare?

Yes. Olatunji Iberu-olushoga is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olatunji Iberu-olushoga was last updated on July 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.