NOVUM WELLNESS CENTER
NPI 1528656378
Nurse Practitioner - Psychiatric/Mental Health in Glen Burnie, MD

Active since January 07, 2021
1404 CRAIN HWY S STE 112, GLEN BURNIE, MD 21061(240) 682-6288 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 6, 2022, Mar 17, 2021, Jan 7, 2021 (3 updates tracked since 2021).

About Novum Wellness Center NPPES

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

NOVUM WELLNESS CENTER (NPI 1528656378) is a healthcare organization registered as a psychiatric/mental health in Glen Burnie, Maryland and active in the NPI registry since January 2021. The organization lists Yeside Ojo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528656378
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameNOVUM WELLNESS CENTER
Location Address1404 CRAIN HWY S STE 112Glen Burnie, MD 21061-4056
Mailing Address2399 Jostaberry WayOdenton, MD 21113-3718 · (240) 682-6288
Organization SubpartNo
Authorized OfficialYeside OjoCeo · (240) 682-6288
Enumeration DateJanuary 7, 2021
Last NPPES UpdateJuly 6, 20223 updates tracked since enumeration
NPPES CertifiedJuly 6, 2022
✔ NPI 1528656378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1404 CRAIN HWY S STE 112, Glen Burnie, MD 21061

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)

Novum Wellness Center 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 Novum Wellness Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1760934913
631 CHERRY HILL RD
Baltimore, MD 21225
(410) 354-2000
✔ PECOS✔ Accepts Medicare7.0 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 Novum Wellness Center's NPI number?

The NPI number for Novum Wellness Center is 1528656378. It was assigned to this organization in the NPPES registry on January 7, 2021.

Where is Novum Wellness Center located?

Novum Wellness Center is located at 1404 Crain Hwy S Ste 112, Glen Burnie, MD 21061. The listed phone number is (240) 682-6288.

What is Novum Wellness Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Novum Wellness Center enrolled in Medicare?

Yes. Novum Wellness Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Novum Wellness Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Novum Wellness Center. 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 Novum Wellness Center was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.