Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MUTIAT O. POPOOLA NURSE PRACTITIONER
NPI 1477169936
Nurse Practitioner in Brandywine, MD

Q: What is Mutiat Popoola's NPI number?

The NPI number for Mutiat Popoola is 1477169936. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Q: What is Mutiat Popoola's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mutiat Popoola was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.

Active since September 21, 2020PECOS Enrolled

15518 KENNETT SQUARE WAY, BRANDYWINE, MD 20613(240) 988-3779 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 2, 2026, Dec 21, 2020, Sep 21, 2020 (3 updates tracked since 2020).

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About Mutiat O. Popoola Nurse Practitioner NPPES

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

MUTIAT O. POPOOLA NURSE PRACTITIONER (NPI 1477169936) is an individual nurse practitioner in Brandywine, Maryland, licensed in Maryland (R205702) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477169936

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMUTIAT O. POPOOLACredential: NURSE PRACTITIONER

Location Address15518 KENNETT SQUARE WAYBrandywine, MD 20613-6239

Mailing Address337 Brightseat Rd Ste 201Hyattsville, MD 20785-4736 · (240) 988-3779

Phone(240) 988-3779

Sole ProprietorYes

Enumeration DateSeptember 21, 2020

Last NPPES UpdateSeptember 2, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2026

✔ NPI 1477169936 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 · R205702

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.

15518 KENNETT SQUARE WAY, Brandywine, MD 20613

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mutiat O. Popoola Nurse Practitioner 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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

98 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20613 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

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 Mutiat Popoola's NPI number?

The NPI number for Mutiat Popoola is 1477169936. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is Mutiat Popoola located?

Mutiat Popoola practices at 15518 Kennett Square Way, Brandywine, MD 20613. The listed phone number is (240) 988-3779.

What is Mutiat Popoola's specialty?

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

Is Mutiat Popoola enrolled in Medicare?

Yes. Mutiat Popoola is registered in the Medicare PECOS enrollment system.

What insurance does Mutiat Popoola accept?

Health plans from Providence Health Plan list Mutiat Popoola as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mutiat Popoola was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.