MRS. EDITH OGUNSANYA (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1316239171

MRS. EDITH OGUNSANYA (CRNP) is a healthcare provider. based in Laurel, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. R174346 (MD). The NPI Number for MRS. EDITH OGUNSANYA (CRNP) is 1316239171

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. EDITH OGUNSANYA (CRNP)
NPI
1316239171
Phone
(240) 429-1074
Address
8713 MULBERRY ST
Enumeration Date
11 May 2011
Last Update Date
8 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2408157300
Graduation Year
2021 (5 years ago)
PAC ID
3577097336
Group Practice PAC ID
0749681732
Professional Enrollment ID
I20241115001588
Address ID
MD217024591FR92XXXDRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:15State licenses:1Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

Provider Addresses for MRS. EDITH OGUNSANYA (CRNP)

  • 8713 MULBERRY ST

    LAUREL, MD 207074916

    Phone: (240) 429-1074

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241115001588INurse PractitionerMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20707)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749681732View full group profile
NameSpecialtyState
Mental Health CounselorMD
Nurse PractitionerMD
Nurse PractitionerMD
Mental Health CounselorMD

Reviews

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Frequently asked questions

How do I look up MRS. EDITH OGUNSANYA (CRNP) by NPI?
Use NPI 1316239171 when you need to reference MRS. EDITH OGUNSANYA (CRNP) in forms, claims, or directories.
Is MRS. EDITH OGUNSANYA (CRNP) active in the national directory?
MRS. EDITH OGUNSANYA (CRNP)'s public NPI profile is in an active state.
What kind of provider is MRS. EDITH OGUNSANYA (CRNP)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for MRS. EDITH OGUNSANYA (CRNP). Clinical services aligned with this taxonomy classification.
Does MRS. EDITH OGUNSANYA (CRNP) practice in Maryland?
You will see Laurel, Maryland on file for MRS. EDITH OGUNSANYA (CRNP) alongside any extra practice locations.
What if Laurel, Maryland seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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