1. Home
  2. Directory
  3. Maryland
  4. Randallstown
  5. Nurse Practitioner
  6. NPI Profile

LAWRETTA AGHOMON DR.
NPI 1639055031
Nurse Practitioner in Randallstown, MD

Active since August 12, 2025PECOS EnrolledAccepts Medicare Assignment
5412 OLD COURT RD, RANDALLSTOWN, MD 21133(410) 922-3200(410) 922-4339 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lawretta Aghomon Dr. NPPES

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

LAWRETTA AGHOMON DR. (NPI 1639055031) is an individual nurse practitioner in Randallstown, Maryland, licensed in Maryland (R218137) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639055031
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLAWRETTA AGHOMONCredential: DR.
Location Address5412 OLD COURT RDRandallstown, MD 21133-5104
Mailing Address5412 Old Court RdRandallstown, MD 21133-5104 · (410) 922-3200
Phone(410) 922-3200
Fax(410) 922-4339
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1639055031 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 · R218137
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.
5412 OLD COURT RD, Randallstown, MD 21133
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lawretta Aghomon Dr. 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 ID4587155189
PECOS Enrollment IDI20251111003910, I20251113003632
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lawretta Aghomon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maryland Medical First P.A.
13 mi
Internal Medicine
8901 CLEMENT AVE
Baltimore, MD 21234
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Medicare enrollment name: Maryland Medical First PA
  • 24 clinicians in this Medicare group
NPI 1013005016 (410) 661-4670
PA Post Acute Services PC
236 mi
General Practice
8055 ADDISON RD
Masury, OH 44438
  • Reassigned Medicare billing, Maryland enrollment
  • 41 clinicians in this Medicare group
NPI 1255057063 (330) 448-2547
Signify Health Medical Associates, PLLC
1,203 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Maryland enrollment
  • 227 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21133 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.

FCOC LLC
Skilled Nursing Facility
5412 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 922-3200
FUTURE CARE OLD COURT, INC.
Skilled Nursing Facility
5412 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 922-3200
BRIDGINGLIFE, INC.
Family Medicine (Hospice and Palliative Medicine)
5412 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 871-8000
JULIE ANNE WAREHIME OTR
Occupational Therapist
5412 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 967-7479
SHALINI DIMPLE OTR/L
Occupational Therapist
5412 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 922-3200
SINAI HOSPITAL OF BALTIMORE, INC.
Physical Medicine & Rehabilitation
5412 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 922-3200
NATALIA IULA PTA
Physical Therapy Assistant
5412 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 922-3200
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Internal Medicine
5412 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 902-0277

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 Lawretta Aghomon's NPI number?

The NPI number for Lawretta Aghomon is 1639055031. It was assigned to this individual provider in the NPPES registry on August 12, 2025.

Where is Lawretta Aghomon located?

Lawretta Aghomon practices at 5412 Old Court Rd, Randallstown, MD 21133. The listed phone number is (410) 922-3200.

What is Lawretta Aghomon's specialty?

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

Is Lawretta Aghomon enrolled in Medicare?

Yes. Lawretta Aghomon 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.

Which organizations bill Medicare for Lawretta Aghomon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lawretta Aghomon reassigns Medicare benefits to 3 organizations: Maryland Medical First P.A. (Baltimore, MD), PA Post Acute Services PC (Masury, OH) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Lawretta Aghomon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lawretta Aghomon was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.