ANDREA AJOGUN CRNP
NPI 1902360118
Nurse Practitioner - Family in Randallstown, MD

Active since January 22, 2019PECOS Enrolled
3510 BRENBROOK DR, RANDALLSTOWN, MD 21133(410) 837-2050(410) 496-6448 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 7, 2022, Jan 22, 2019 (2 updates tracked since 2019).

About Andrea Ajogun Crnp NPPES

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

ANDREA AJOGUN CRNP (NPI 1902360118) is an individual family provider in Randallstown, Maryland, licensed in Maryland (R180489) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1902360118
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA AJOGUNCredential: CRNP
Location Address3510 BRENBROOK DRRandallstown, MD 21133-4902
Mailing Address3510 Brenbrook DrRandallstown, MD 21133-4902 · (410) 837-2050 · Fax (410) 496-6448
Fax(410) 496-6448
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 22, 2019
Last NPPES UpdateDecember 7, 20222 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
✔ NPI 1902360118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R180489
3510 BRENBROOK DR, Randallstown, MD 21133

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Ajogun Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537401401
PECOS Enrollment IDI20190424000905, I20200408001145, I20260324003863, I20260325004019, I20260406002776, I20260407002638
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

5

Medicare enrollment records show Andrea Ajogun reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
5401 OLD COURT RD
Randallstown, MD 21133
  • Reassigned Medicare billing, Maryland enrollment
  • 664 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1111 NORTH CHARLES STREET
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 213 clinicians in this Medicare group
Clinic/Center
133 ROLLINS AVE STE 3
Rockville, MD 20852
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 14 clinicians in this Medicare group
Public Health & General Preventive Medicine
4849 RUGBY AVE
Bethesda, MD 20814
  • Reassigned Medicare billing, Maryland enrollment
  • 4 clinicians in this Medicare group
Family Medicine
10123 ALLIANCE RD
Blue Ash, OH 45242
  • Reassigned Medicare billing, District of Columbia, Indiana, Maryland, Ohio, Virginia and West Virginia enrollments
  • 45 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
68 services12 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
29 services19 patients

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 11

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

Social Worker (Clinical)
3510 BRENBROOK DR
RANDALLSTOWN, MD 21133
Social Worker (Clinical)
3510 BRENBROOK DR
RANDALLSTOWN, MD 21133
Internal Medicine
3510 BRENBROOK DR
RANDALLSTOWN, MD 21133
Social Worker (Clinical)
3510 BRENBROOK DR
RANDALLSTOWN, MD 21133
Social Worker (Clinical)
3510 BRENBROOK DR
RANDALLSTOWN, MD 21133
Pediatrics
3510 BRENBROOK DR
RANDALLSTOWN, MD 21133
Nurse Practitioner (Family)
3510 BRENBROOK DR
RANDALLSTOWN, MD 21133
Nurse Practitioner (Family)
3510 BRENBROOK DR
RANDALLSTOWN, MD 21133

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 Andrea Ajogun's NPI number?

The NPI number for Andrea Ajogun is 1902360118. It was assigned to this individual provider in the NPPES registry on January 22, 2019.

Where is Andrea Ajogun located?

Andrea Ajogun practices at 3510 Brenbrook Dr, Randallstown, MD 21133. The listed phone number is (410) 837-2050.

What is Andrea Ajogun's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrea Ajogun enrolled in Medicare?

Yes. Andrea Ajogun is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrea Ajogun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Ajogun reassigns Medicare benefits to 5 organizations: Sinai Hospital Of Baltimore, Inc (Randallstown, MD), Chase Brexton Health Services, Inc. (Baltimore, MD), Maryland Medical Specialists Inc (Rockville, MD), Care Talk Health Fl PA (Bethesda, MD) and Post Acute Telehealth PC (Blue Ash, OH). 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 Andrea Ajogun'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 Andrea Ajogun was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.