MRS. JUMOKE FADEKE OMISORE NP
NPI 1629558572
Nurse Practitioner - Psychiatric/Mental Health in Gambrills, MD

Q: What is Jumoke Omisore's NPI number?

The NPI number for Jumoke Omisore is 1629558572. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Q: What is Jumoke Omisore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jumoke Omisore was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 20, 2018PECOS EnrolledAccepts Medicare Assignment

1529 WINFIELDS LN, GAMBRILLS, MD 21054(410) 790-9640 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2024, Jul 26, 2021, Oct 18, 2020 and 1 more (4 updates tracked since 2018).

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About Mrs. Jumoke Fadeke Omisore Np NPPES

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

MRS. JUMOKE FADEKE OMISORE NP (NPI 1629558572) is an individual psychiatric/mental health provider in Gambrills, Maryland, licensed in Maryland (R147715) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gambrills, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1629558572

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. JUMOKE FADEKE OMISORECredential: NP

Location Address1529 WINFIELDS LNGambrills, MD 21054-1127

Mailing Address1529 Winfields LnGambrills, MD 21054-1127 · (410) 790-9640

Phone(410) 790-9640

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 20, 2018

Last NPPES UpdateDecember 13, 20244 updates tracked since enumeration

NPPES CertifiedDecember 13, 2024

✔ NPI 1629558572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MD · R147715

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RI47715 (MD)

1529 WINFIELDS LN, Gambrills, MD 21054

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Secondary Practice Location 1

Location 11529 Winfields LnGambrills, MD 21054-1127 · Phone (410) 903-9206

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

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

Mrs. Jumoke Fadeke Omisore 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 ID6608286877

PECOS Enrollment IDI20201029002887

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 21054 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.

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 Jumoke Omisore's NPI number?

The NPI number for Jumoke Omisore is 1629558572. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Where is Jumoke Omisore located?

Jumoke Omisore practices at 1529 Winfields Ln, Gambrills, MD 21054. The listed phone number is (410) 790-9640.

What is Jumoke Omisore's specialty?

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

Is Jumoke Omisore enrolled in Medicare?

Yes. Jumoke Omisore 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 Jumoke Omisore was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.