OPTIMUM PRIMARY HEALTH AND WELLNESS CENTER, L.L.C
NPI 1376398511
Nurse Practitioner - Family in Greenbelt, MD

Active since April 22, 2024
7207B HANOVER PKWY # B, GREENBELT, MD 20770(240) 421-0664(844) 211-5123 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Optimum Primary Health And Wellness Center, L.l.c NPPES

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

OPTIMUM PRIMARY HEALTH AND WELLNESS CENTER, L.L.C (NPI 1376398511) is a healthcare organization registered as a family in Greenbelt, Maryland and active in the NPI registry since April 2024. The organization lists Yetunde Adepetu, Fnp, as its authorized official.

NPPES Registry Identity

NPI1376398511
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameOPTIMUM PRIMARY HEALTH AND WELLNESS CENTER, L.L.C
Location Address7207B HANOVER PKWY # BGreenbelt, MD 20770-3606
Mailing Address9100 Wipkey CtBowie, MD 20720-3233 · (240) 421-0644 · Fax (844) 211-5123
Fax(844) 211-5123
Organization SubpartNo
Authorized OfficialYetunde AdepetuFnp · (240) 421-0664
Enumeration DateApril 22, 2024
NPPES CertifiedApril 22, 2024
✔ NPI 1376398511 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
7207B HANOVER PKWY # B, Greenbelt, MD 20770

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Optimum Primary Health And Wellness Center, L.l.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Optimum Primary Health And Wellness Center, L.L.C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1598264509
14200 LAUREL PARK DR
Laurel, MD 20707
(410) 724-3450
✔ PECOS✔ Accepts Medicare6.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Optimum Primary Health And Wellness Center, L.L.C's NPI number?

The NPI number for Optimum Primary Health And Wellness Center, L.L.C is 1376398511. It was assigned to this organization in the NPPES registry on April 22, 2024.

Where is Optimum Primary Health And Wellness Center, L.L.C located?

Optimum Primary Health And Wellness Center, L.L.C is located at 7207B Hanover Pkwy # B, Greenbelt, MD 20770. The listed phone number is (240) 421-0664.

What is Optimum Primary Health And Wellness Center, L.L.C's specialty?

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

Is Optimum Primary Health And Wellness Center, L.L.C enrolled in Medicare?

Yes. Optimum Primary Health And Wellness Center, L.L.C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optimum Primary Health And Wellness Center, L.L.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Optimum Primary Health And Wellness Center, L.L.C. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Optimum Primary Health And Wellness Center, L.L.C was last updated on April 22, 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.