CLEMENTINA OLUSOGA NP
NPI 1417703117
Nurse Practitioner in Sparks, MD

Q: What is Clementina Olusoga's NPI number?

The NPI number for Clementina Olusoga is 1417703117. It was assigned to this individual provider in the NPPES registry on April 24, 2024.

Q: What is Clementina Olusoga's specialty?

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

Active since April 24, 2024PECOS EnrolledAccepts Medicare Assignment

909 RIDGEBROOK RD STE 300, SPARKS, MD 21152(301) 377-8431 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2024, Apr 24, 2024 (2 updates tracked since 2024).

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About Clementina Olusoga Np NPPES

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

CLEMENTINA OLUSOGA NP (NPI 1417703117) is an individual nurse practitioner in Sparks, Maryland, licensed in Maryland (987724651) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417703117

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCLEMENTINA OLUSOGACredential: NP

Location Address909 RIDGEBROOK RD STE 300Sparks, MD 21152-9477

Mailing Address909 Ridgebrook Rd Ste 300Sparks, MD 21152-9477 · (301) 377-8431

Phone(301) 377-8431

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateApril 24, 2024

Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration

NPPES CertifiedJuly 10, 2024

✔ NPI 1417703117 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 · 987724651

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.

909 RIDGEBROOK RD STE 300, Sparks, MD 21152

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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 and accepts Medicare assignment

Clementina Olusoga Np 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 ID4587100888

PECOS Enrollment IDI20240723002490

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 11

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 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.

256 services111 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

208 services96 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

140 services39 patients

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.

124 services51 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

92 services11 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

73 services72 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

60 services29 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

42 services42 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

34 services22 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

19 services16 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21152 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 14

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

MARISSA SURDY

Nurse Practitioner

909 RIDGEBROOK RD STE 300
SPARKS, MD 21152

Baltimore County (443) 383-9300

TABRIA PERRY

Nurse Practitioner (Family)

909 RIDGEBROOK RD STE 300
SPARKS, MD 21152

Baltimore County (772) 221-7620

ASHLEY MARIE WHITE NP

Nurse Practitioner

909 RIDGEBROOK RD STE 300
SPARKS, MD 21152

Baltimore County (443) 383-9300

MS. NINA SHARMA FNP-C

Nurse Practitioner (Family)

909 RIDGEBROOK RD STE 300
SPARKS, MD 21152

Baltimore County (443) 383-9300

SARA OSEI-BONSU FNP-C

Nurse Practitioner (Family)

909 RIDGEBROOK RD STE 300
SPARKS, MD 21152

Baltimore County (443) 383-9300

MARIA SCHWARTZ

Nurse Practitioner

909 RIDGEBROOK RD STE 300
SPARKS GLENCOE, MD 21152

Baltimore County (443) 383-9300

MARTHA SUZANNE KELLY FNP

Nurse Practitioner (Family)

909 RIDGEBROOK RD STE 300
SPARKS, MD 21152

Baltimore County (441) 383-9300

CRISTA O'NEIL NP

Nurse Practitioner (Family)

909 RIDGEBROOK RD STE 300
SPARKS, MD 21152

Baltimore County (407) 414-9789

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 Clementina Olusoga's NPI number?

The NPI number for Clementina Olusoga is 1417703117. It was assigned to this individual provider in the NPPES registry on April 24, 2024.

Where is Clementina Olusoga located?

Clementina Olusoga practices at 909 Ridgebrook Rd Ste 300, Sparks, MD 21152. The listed phone number is (301) 377-8431.

What is Clementina Olusoga's specialty?

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

Is Clementina Olusoga enrolled in Medicare?

Yes. Clementina Olusoga 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.

When was this NPI record last updated?

The NPPES record for Clementina Olusoga was last updated on July 10, 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.