Provider Profile

Modinat O. Fagbenro, PMHNP-BC

Unclaimed Profile

About Modinat Fagbenro

Listed in the NPI registry as a nurse practitioner, Modinat O. Fagbenro, PMHNP-BC practices in Lutherville Timonium, MD. Modinat is also listed as specializing in nurse practitioner — psychiatric/mental health. NPI 1063061034 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2019

Specialty

Nurse Practitioner (Primary)

Credentials & Licensing

MD licenceAs reported to the NPI registry
No. R210603As reported
NPINational Provider Identifier
1063061034Issued 2019

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Modinat O. Fagbenro's specialty?

Modinat O. Fagbenro is a nurse practitioner in Lutherville Timonium, MD. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Modinat O. Fagbenro?

Modinat O. Fagbenro is listed at 22 W Padonia Rd Ste C252, Lutherville Timonium, MD 21093. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Modinat O. Fagbenro?

The number on file is (410) 768-6088. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Modinat O. Fagbenro's NPI number?

Modinat O. Fagbenro's National Provider Identifier is 1063061034. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Modinat O. Fagbenro's education?

Modinat O. Fagbenro attended Other, graduating in 2019. This comes from the CMS National Downloadable File.

CMS public data

How long has Modinat O. Fagbenro been practicing?

Modinat O. Fagbenro has 7 years experience. Calculated from a graduation year of 2019, reported in the CMS National Downloadable File.

CMS public data

Has Modinat O. Fagbenro confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Modinat O. Fagbenro. If this is you, claiming it is free.

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