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

Modupe Fadojutimi, NURSEPRACTITIONER

Individual provider Primary Care Nurse Practitioner · NPI 1952860660

Modupe Fadojutimi, NURSEPRACTITIONER is a Nurse Practitioner in LA Plata, Maryland. Qualified in 2018, 8 years ago. Practices with Villagehealth Dm LLC, a 155-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
8
Licensed in
MD
In the registry since
2019

Practice location Address checks out

1 Magnolia Dr
LA Plata, MD 20646-9357
Phone: (301) 934-4001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence R194540 (MD)

Record details

NPI number1952860660
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedMarch 13, 2019
Last updated in NPPESMarch 13, 2019

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)
Group practice Villagehealth Dm Llc — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services