ELIZABETH IRE OLUMESE
NPI 1164758603
Nurse Practitioner - Psychiatric/Mental Health in Lanham, MD
About Elizabeth Ire Olumese NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH IRE OLUMESE (NPI 1164758603) is an individual psychiatric/mental health provider in Lanham, Maryland, licensed in Maryland (R131054) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth Ire Olumese is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Olumese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, District of Columbia enrollment
- 1,424 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 20706 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LANHAM, MD 20706
LANHAM, MD 20706
LANHAM, MD 20706
LANHAM, MD 20706
LANHAM, MD 20706
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 Elizabeth Olumese's NPI number?
The NPI number for Elizabeth Olumese is 1164758603. It was assigned to this individual provider in the NPPES registry on October 18, 2009.
Where is Elizabeth Olumese located?
Elizabeth Olumese practices at 7375 Executive Pl Ste 400, Lanham, MD 20706. The listed phone number is (202) 723-4392.
What is Elizabeth Olumese's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Elizabeth Olumese enrolled in Medicare?
Yes. Elizabeth Olumese is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elizabeth Olumese's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Olumese reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Elizabeth Olumese'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 Elizabeth Olumese was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Elizabeth Ire Olumese · NPI 1164758603
Psychiatric/Mental Health physician in Lanham, Maryland. Individual provider, active in the CMS NPPES registry since October 18, 2009.
## Identity
- **NPI:** 1164758603 (Entity type: Individual)
- **Enumerated:** October 18, 2009
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R131054 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 7375 EXECUTIVE PL STE 400, Lanham, MD 20706-6232
- **Phone:** (202) 723-4392
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164758603) · Data from the CMS NPPES public registry.