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DR. OLUKOREDE GISANRIN
NPI 1548094840
Nurse Practitioner - Family in Upper Marlboro, MD

Active since August 28, 2024PECOS Enrolled
9600 MARILYN IVY CT, UPPER MARLBORO, MD 20772(240) 533-8778 Get Directions Write a Review

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

About Dr. Olukorede Gisanrin NPPES

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

DR. OLUKOREDE GISANRIN (NPI 1548094840) is an individual family provider in Upper Marlboro, Maryland, licensed in Maryland (R192641) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548094840
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. OLUKOREDE GISANRIN
Location Address9600 MARILYN IVY CTUpper Marlboro, MD 20772-4509
Mailing Address9600 Marilyn Ivy CtUpper Marlboro, MD 20772-4509
Phone(240) 533-8778
Sole ProprietorNo
Enumeration DateAugust 28, 2024
Last NPPES UpdateSeptember 10, 2024
NPPES CertifiedSeptember 10, 2024
✔ NPI 1548094840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R192641
Also ListedRegistered NurseTaxonomy 163W00000X · License R192641 (MD)
9600 MARILYN IVY CT, Upper Marlboro, MD 20772
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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 (PECOS)

Dr. Olukorede Gisanrin 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20772 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 Olukorede Gisanrin's NPI number?

The NPI number for Olukorede Gisanrin is 1548094840. It was assigned to this individual provider in the NPPES registry on August 28, 2024.

Where is Olukorede Gisanrin located?

Olukorede Gisanrin practices at 9600 Marilyn Ivy Ct, Upper Marlboro, MD 20772. The listed phone number is (240) 533-8778.

What is Olukorede Gisanrin's specialty?

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

Is Olukorede Gisanrin enrolled in Medicare?

Yes. Olukorede Gisanrin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olukorede Gisanrin was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.