MS. FUNMILAYO OLUGBEMI CRNP-PMH
NPI 1780151647
Nurse Practitioner - Psychiatric/Mental Health in Glenn Dale, MD

Active since October 30, 2018PECOS EnrolledAccepts Medicare Assignment
7102 GLEN PINE ST, GLENN DALE, MD 20769(301) 466-1322 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 16, 2026, Oct 30, 2018 (2 updates tracked since 2018).

About Ms. Funmilayo Olugbemi Crnp-pmh NPPES

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

MS. FUNMILAYO OLUGBEMI CRNP-PMH (NPI 1780151647) is an individual psychiatric/mental health provider in Glenn Dale, Maryland, licensed in Maryland (R148451) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1780151647
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. FUNMILAYO OLUGBEMICredential: CRNP-PMH
Location Address7102 GLEN PINE STGlenn Dale, MD 20769-9463
Mailing Address7102 Glen Pine StGlenn Dale, MD 20769-9463 · (301) 466-1322
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 30, 2018
Last NPPES UpdateJanuary 16, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
✔ NPI 1780151647 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
License✔ Licensed in MD · R148451
7102 GLEN PINE ST, Glenn Dale, MD 20769

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

Ms. Funmilayo Olugbemi Crnp-pmh 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 ID4981936127
PECOS Enrollment IDI20191021003465, I20260127004444
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

2

Medicare enrollment records show Funmilayo Olugbemi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
7102 GLEN PINE ST
Glenn Dale, MD 20769
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Maryland and Virginia enrollments
  • 179 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 20769 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
7102 GLEN PINE ST
GLENN DALE, MD 20769

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 Funmilayo Olugbemi's NPI number?

The NPI number for Funmilayo Olugbemi is 1780151647. It was assigned to this individual provider in the NPPES registry on October 30, 2018.

Where is Funmilayo Olugbemi located?

Funmilayo Olugbemi practices at 7102 Glen Pine St, Glenn Dale, MD 20769. The listed phone number is (301) 466-1322.

What is Funmilayo Olugbemi's specialty?

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

Is Funmilayo Olugbemi enrolled in Medicare?

Yes. Funmilayo Olugbemi 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 Funmilayo Olugbemi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Funmilayo Olugbemi reassigns Medicare benefits to 2 organizations: Tdk Integrated Health, Inc (Glenn Dale, MD) and Sondermind Provider Network LLC (Denver, 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 Funmilayo Olugbemi'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 Funmilayo Olugbemi was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.