Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

YETUNDE ODOLE NP
NPI 1891543195
Nurse Practitioner - Psychiatric/Mental Health in Columbia, MD

Active since May 10, 2024PECOS Enrolled
10320 LITTLE PATUXENT PKWY STE 200, COLUMBIA, MD 21044(410) 977-2847(888) 744-3418 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2026, Apr 8, 2025, May 10, 2024 (3 updates tracked since 2024).

About Yetunde Odole Np NPPES

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

YETUNDE ODOLE NP (NPI 1891543195) is an individual psychiatric/mental health provider in Columbia, Maryland, licensed in Maryland (R235388) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1891543195
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameYETUNDE ODOLECredential: NP
Location Address10320 LITTLE PATUXENT PKWY STE 200Columbia, MD 21044-3344
Mailing Address10320 Little Patuxent Pkwy Ste 200Columbia, MD 21044-3344
Fax(888) 744-3418
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 10, 2024
Last NPPES UpdateOctober 9, 20263 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1891543195 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 · R235388
Also ListedRegistered NurseTaxonomy 163W00000X · License RN1050909 (DC)
10320 LITTLE PATUXENT PKWY STE 200, Columbia, MD 21044

Secondary Practice Location 1

Location 11050 Connecticut Ave NW Ste 500Washington, DC 20036-5304 · Phone (410) 977-2847 · Fax (888) 744-3418

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yetunde Odole Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759897218
PECOS Enrollment IDI20260127004087
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 Yetunde Odole reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Service
14440 CHERRY LANE CT STE 102
Laurel, MD 20707
  • Reassigned Medicare billing, District of Columbia enrollment
Developmental Disabilities
1050 CONNECTICUT AVE NW STE 5005
Washington, DC 20036
  • Reassigned Medicare billing, District of Columbia enrollment

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 21044 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.

Day Training, Developmentally Disabled Services
10320 LITTLE PATUXENT PKWY STE 200
COLUMBIA, MD 21044
Social Worker (Clinical)
10320 LITTLE PATUXENT PKWY STE 200
COLUMBIA, MD 21044
Non-Pharmacy Dispensing Site
10320 LITTLE PATUXENT PKWY STE 200
COLUMBIA, MD 21044
Nurse Practitioner
10320 LITTLE PATUXENT PKWY STE 200
COLUMBIA, MD 21044
Family Medicine
10320 LITTLE PATUXENT PKWY STE 200
COLUMBIA, MD 21044
Nursing Care
10320 LITTLE PATUXENT PKWY STE 200
COLUMBIA, MD 21044
Hearing Instrument Specialist
10320 LITTLE PATUXENT PKWY STE 200
COLUMBIA, MD 21044
Physical Medicine & Rehabilitation
10320 LITTLE PATUXENT PKWY STE 200
COLUMBIA, MD 21044

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 Yetunde Odole's NPI number?

The NPI number for Yetunde Odole is 1891543195. It was assigned to this individual provider in the NPPES registry on May 10, 2024.

Where is Yetunde Odole located?

Yetunde Odole practices at 10320 Little Patuxent Pkwy Ste 200, Columbia, MD 21044. The listed phone number is (410) 977-2847.

What is Yetunde Odole's specialty?

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

Is Yetunde Odole enrolled in Medicare?

Yes. Yetunde Odole is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Yetunde Odole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yetunde Odole reassigns Medicare benefits to 2 organizations: Camphire Initiative LLC (Laurel, MD) and Camphire Initiative, LLC. (Washington, DC). 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 Yetunde Odole'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 Yetunde Odole was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.