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NPI 1861115198ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Owings Mills, MD
Nurse Practitioner, Psych/Mental Health in Owings Mills, Maryland, registered in NPPES in September 2022. The authorized official on file is Mobolaji O. Rosanwo, MSN, CRNP, Owner Of Entity. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861115198 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 21, 2022 |
| Last updated in NPPES | Sep 21, 2022 |
| Certified by provider | Sep 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MD) |
|---|
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