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OLUFISAYO OMOBO NP
NPI 1962284471
Nurse Practitioner - Psychiatric/Mental Health in Washington, DC

Active since October 18, 2023PECOS Enrolled
1629 K ST NW STE 300, WASHINGTON, DC 20006(443) 498-1313 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2026, Mar 20, 2026, Oct 18, 2023 (3 updates tracked since 2023).

About Olufisayo Omobo Np NPPES

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

OLUFISAYO OMOBO NP (NPI 1962284471) is an individual psychiatric/mental health provider in Washington, District Of Columbia, licensed in Maryland (R245800) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1962284471
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameOLUFISAYO OMOBOCredential: NP
Location Address1629 K ST NW STE 300Washington, DC 20006-1631
Mailing Address516 N Rolling Rd Ste 305Baltimore, MD 21228-4142 · (443) 498-1313 · Fax (443) 590-9499
Phone(443) 498-1313
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 18, 2023
Last NPPES UpdateMay 4, 20263 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1962284471 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
License✔ Licensed in MD · R245800
1629 K ST NW STE 300, Washington, DC 20006
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Secondary Practice Locations 3

Location 1516 N Rolling RdCatonsville, MD 21228-4140 · Phone (410) 661-0466
Location 2516 N Rolling RdBaltimore, MD 21228-4140 · Phone (443) 498-1313 · Fax (443) 590-9499
Location 37615 Ora Glen DrGreenbelt, MD 20770-3642 · Phone (301) 340-7525 · Fax (301) 495-0318

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3779091293
PECOS Enrollment IDI20250821002603
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20006 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 20

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

MR. NIGEL DAMIEN JACKSON LICSW
Social Worker (Clinical)
1629 K ST NW STE 300
WASHINGTON, DC 20006
District of Columbia (202) 374-8702
SYMMETRY COUNSELING, LLC
Psychologist (Clinical)
1629 K ST NW STE 300
WASHINGTON, DC 20006
District of Columbia (312) 578-9990
MA-KING HOMECARE SERVICES LLC
Home Health
1629 K ST NW STE 300
WASHINGTON, DC 20006
District of Columbia (240) 646-4144
PLEXA CARE LLC
Clinic/Center (Developmental Disabilities)
1629 K ST NW STE 300
WASHINGTON, DC 20006
District of Columbia (202) 835-0680
SHALOM HEALTH CARE SERVICES LLC
Clinic/Center (Developmental Disabilities)
1629 K ST NW STE 300
WASHINGTON, DC 20006
District of Columbia (202) 835-0680
MS. MONICA K NCHE
Case Management
1629 K ST NW STE 300
WASHINGTON, DC 20006
District of Columbia (240) 701-4354
DR. NICOLE R RICHARDSON DO
Internal Medicine
1629 K ST NW STE 300
WASHINGTON, DC 20006
District of Columbia (202) 787-9235
INCE COUNSELING AND CONSULTING LLC
Social Worker (Clinical)
1629 K ST NW STE 300
WASHINGTON, DC 20006
District of Columbia (833) 968-8255

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 Olufisayo Omobo's NPI number?

The NPI number for Olufisayo Omobo is 1962284471. It was assigned to this individual provider in the NPPES registry on October 18, 2023.

Where is Olufisayo Omobo located?

Olufisayo Omobo practices at 1629 K St NW Ste 300, Washington, DC 20006. The listed phone number is (443) 498-1313.

What is Olufisayo Omobo's specialty?

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

Is Olufisayo Omobo enrolled in Medicare?

Yes. Olufisayo Omobo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olufisayo Omobo was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.