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BOWIE PSYCHIATRIC PROFESSIONAL ASSOCIATE LLC
NPI 1821705930
Nurse Practitioner - Psychiatric/Mental Health in Bowie, MD

Active since October 31, 2022
1007 KINGS HEATHER DR, BOWIE, MD 20721(301) 648-9340(301) 218-1090 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 27, 2026, Jun 23, 2025, Oct 31, 2022 (3 updates tracked since 2022).

About Bowie Psychiatric Professional Associate Llc NPPES

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

BOWIE PSYCHIATRIC PROFESSIONAL ASSOCIATE LLC (NPI 1821705930) is a healthcare organization registered as a psychiatric/mental health in Bowie, Maryland and active in the NPI registry since October 2022. The organization lists Olaolu Fadairo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821705930
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBOWIE PSYCHIATRIC PROFESSIONAL ASSOCIATE LLC
Location Address1007 KINGS HEATHER DRBowie, MD 20721-2010
Mailing Address1007 Kings Heather DrBowie, MD 20721-2010 · (301) 648-9340 · Fax (301) 218-1090
Phone(301) 648-9340
Fax(301) 218-1090
Organization SubpartNo
Authorized OfficialOlaolu FadairoCeo · (301) 648-9340
Enumeration DateOctober 31, 2022
Last NPPES UpdateApril 27, 20263 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1821705930 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
1007 KINGS HEATHER DR, Bowie, MD 20721
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bowie Psychiatric Professional Associate Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bowie Psychiatric Professional Associate LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Olaolu Fadairo, NP
Nurse Practitioner
NPI 1265025969
1007 KINGS HEATHER DR
Bowie, MD 20721
(301) 648-9340
✔ PECOS✔ Accepts MedicareSame address

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

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 Bowie Psychiatric Professional Associate LLC's NPI number?

The NPI number for Bowie Psychiatric Professional Associate LLC is 1821705930. It was assigned to this organization in the NPPES registry on October 31, 2022.

Where is Bowie Psychiatric Professional Associate LLC located?

Bowie Psychiatric Professional Associate LLC is located at 1007 Kings Heather Dr, Bowie, MD 20721. The listed phone number is (301) 648-9340.

What is Bowie Psychiatric Professional Associate LLC's specialty?

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

Is Bowie Psychiatric Professional Associate LLC enrolled in Medicare?

Yes. Bowie Psychiatric Professional Associate LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bowie Psychiatric Professional Associate LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bowie Psychiatric Professional Associate LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bowie Psychiatric Professional Associate LLC was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.