MERCY HEALTH PATHWAY LLC
NPI 1942993019
Nurse Practitioner - Family in Severn, MD
About Mercy Health Pathway Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERCY HEALTH PATHWAY LLC (NPI 1942993019) is a healthcare organization registered as a family in Severn, Maryland and active in the NPI registry since June 2023. The organization lists Olatunji Iberu-olushoga, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mercy Health Pathway 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 Mercy Health Pathway LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Mercy Health Pathway LLC's NPI number?
The NPI number for Mercy Health Pathway LLC is 1942993019. It was assigned to this organization in the NPPES registry on June 2, 2023.
Where is Mercy Health Pathway LLC located?
Mercy Health Pathway LLC is located at 1509 Fitzpatrick Dr, Severn, MD 21144. The listed phone number is (301) 728-0345.
What is Mercy Health Pathway LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mercy Health Pathway LLC enrolled in Medicare?
Yes. Mercy Health Pathway LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mercy Health Pathway LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mercy Health Pathway 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 Mercy Health Pathway LLC was last updated on June 2, 2023. 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.
# Mercy Health Pathway Llc · NPI 1942993019
Family organization in Severn, Maryland. Organization record, active in the CMS NPPES registry since June 2, 2023.
## Identity
- **NPI:** 1942993019 (Entity type: Organization)
- **Enumerated:** June 2, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Olatunji Iberu-Olushoga, OWNER
## Practice location
- **Address:** 1509 FITZPATRICK DR, Severn, MD 21144-3142
- **Phone:** (301) 728-0345
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1942993019) · Data from the CMS NPPES public registry.