OLUWASEUN FEYISETAN
NPI 1962163030
Nurse Practitioner - Family in Bowie, MD
About Oluwaseun Feyisetan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLUWASEUN FEYISETAN (NPI 1962163030) is an individual family provider in Bowie, Maryland, licensed in Maryland (R213271) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Oluwaseun Feyisetan 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.
Medicare Billing Reassignment
Medicare enrollment records show Oluwaseun Feyisetan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Largo, MD 20774
- Reassigned Medicare billing, District of Columbia enrollment
- Also billed through NPI 1952461816 (District of Columbia), NPI 1497023188 (District of Columbia)
- 752 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 20716 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Oluwaseun Feyisetan's NPI number?
The NPI number for Oluwaseun Feyisetan is 1962163030. It was assigned to this individual provider in the NPPES registry on December 31, 2021.
Where is Oluwaseun Feyisetan located?
Oluwaseun Feyisetan practices at 12629 Heming Ln, Bowie, MD 20716. The listed phone number is (408) 646-2844.
What is Oluwaseun Feyisetan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Oluwaseun Feyisetan enrolled in Medicare?
Yes. Oluwaseun Feyisetan 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 organization bills Medicare for Oluwaseun Feyisetan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Oluwaseun Feyisetan reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Largo, MD). The 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 Oluwaseun Feyisetan'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 Oluwaseun Feyisetan was last updated on December 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Oluwaseun Feyisetan · NPI 1962163030
Family physician in Bowie, Maryland. Individual provider, active in the CMS NPPES registry since December 31, 2021.
## Identity
- **NPI:** 1962163030 (Entity type: Individual)
- **Enumerated:** December 31, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R213271 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12629 HEMING LN, Bowie, MD 20716-1117
- **Phone:** (408) 646-2844
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1366781700, Largo, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 31, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1962163030) · Data from the CMS NPPES public registry.