Olatunji Ismail Iberu-Olushoga, CRNP
NPI 1104497841ActiveIndividual· Nurse Practitioner, Family· Severn, MD
Nurse Practitioner, Family (CRNP) in Severn, Maryland, licensed in MD, with an NPI issued in July 2021. In 2024 Medicare paid $164,402 for 230 patients, and Part D covered 243 of their prescriptions, 76% of them generic.
Overview
| NPI | 1104497841 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNP |
| Sole proprietor | Yes |
| NPI issued | Jul 4, 2021 |
| Last updated in NPPES | Jul 4, 2021 |
| Certified by provider | Jul 4, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | R214785 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 230 |
|---|---|
| Services billed | 2,402 across 6 procedure codes |
| Paid by Medicare | $164,402 |
Part D prescriptions in 2024
| Prescriptions (claims) | 243 · 247 30-day fills |
|---|---|
| Patients | 67 |
| Total drug cost | $17,842 |
| Generic share | 76% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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