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

Caroline Ibijemilusi

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1982188231

Caroline Ibijemilusi is a Nurse Practitioner in Lanham, Maryland. Qualified in 2018, 8 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
8
Licensed in
MD
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

9470 Annapolis Rd Ste 402
Lanham, MD 20706-3059
Phone: (240) 770-6689
Fax: (240) 667-2190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence R160656 (MD)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence R160696 (MD)

Record details

NPI number1982188231
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 22, 2018
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025
Mailing address9470 Annapolis Rd Ste 402, Lanham, MD 20706-3059

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lanham