Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Autumn Willow Ogunbamise

Individual provider Family Nurse Practitioner · NPI 1306291752

Autumn Willow Ogunbamise is a Nurse Practitioner in Washington, District of Columbia. Qualified in 2015, 11 years ago. Practices with Medstar Medical Group II LLC, a 3,717-clinician group and accepts Medicare assignment. Licensed in District of Columbia.

Years since qualifying
11
Licensed in
DC
In the registry since
2016
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Practice location Address checks out

110 Irving St NW
Washington, DC 20010-3017
Phone: (202) 877-0916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP1022958 (DC)

Record details

NPI number1306291752
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 3, 2016
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Medstar Medical Group Ii Llc — 3717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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