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

Ololade Ikuomola, NP-C

Individual provider Primary Care Nurse Practitioner · NPI 1114457421

Ololade Ikuomola, NP-C is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2016, 10 years ago. Practices with Mace Medical LLC, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
10
Licensed in
MD
In the registry since
2017
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1124 Mace Ave
Baltimore, MD 21221-3315
Phone: (410) 391-6996
Fax: (410) 687-6877
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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 R201929 (MD)

Record details

NPI number1114457421
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJune 19, 2017
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mace Medical Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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