OLAMIPO ODEBODE DNP PMHNP-BC
NPI 1770066623
Nurse Practitioner - Psychiatric/Mental Health in Conowingo, MD
About Olamipo Odebode Dnp Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLAMIPO ODEBODE DNP PMHNP-BC (NPI 1770066623) is an individual psychiatric/mental health provider in Conowingo, Maryland, licensed in Maryland (R217298) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elkridge, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Olamipo Odebode Dnp Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Olamipo Odebode reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Conowingo, MD 21918
- Reassigned Medicare billing, Maryland enrollment
- 24 clinicians in this Medicare group
Elkridge, MD 21075
- Reassigned Medicare billing, Maryland enrollment
- 41 clinicians in this Medicare group
Colorado Springs, CO 80906
- Reassigned Medicare billing, Colorado enrollment
- 400 clinicians in this Medicare group
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 21918 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Olamipo Odebode's NPI number?
The NPI number for Olamipo Odebode is 1770066623. It was assigned to this individual provider in the NPPES registry on September 6, 2018.
Where is Olamipo Odebode located?
Olamipo Odebode practices at 49 Rock Springs Rd, Conowingo, MD 21918. The listed phone number is (410) 378-9696.
What is Olamipo Odebode's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Olamipo Odebode enrolled in Medicare?
Yes. Olamipo Odebode is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Olamipo Odebode's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olamipo Odebode reassigns Medicare benefits to 3 organizations: West Cecil Health Center Inc. (Conowingo, MD), Backpack Medical Group, P.C. (Elkridge, MD) and Family Care Center, LLC (Colorado Springs, CO). 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 Olamipo Odebode'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 Olamipo Odebode was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Olamipo Odebode, DNP PMHNP-BC · NPI 1770066623
Psychiatric/Mental Health physician in Conowingo, Maryland. Individual provider, active in the CMS NPPES registry since September 6, 2018.
## Identity
- **NPI:** 1770066623 (Entity type: Individual)
- **Enumerated:** September 6, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R217298 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 49 ROCK SPRINGS RD, Conowingo, MD 21918-1352
- **Phone:** (410) 378-9696 · **Fax:** (410) 378-9922
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): West Cecil Health Center Inc. (NPI 1366625089, Conowingo, MD); Backpack Medical Group, P.C. (NPI 1851177570, Elkridge, MD); Family Care Center, LLC (NPI 1790141984, Colorado Springs, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1770066623) · Data from the CMS NPPES public registry.