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

Olukemi Roseline Omogoke, MD

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1801365689

Olukemi Roseline Omogoke, MD is a Nurse Practitioner in Severna Park, Maryland. Qualified in 2018, 8 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
8
Licensed in
MD
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

650 Ritchie Hwy Ste 207
Severna Park, MD 21146-3935
Phone: (410) 315-9350
Fax: (410) 421-9135
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R207593 (MD)

Record details

NPI number1801365689
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 21, 2018
Last updated in NPPESMarch 26, 2021
Certification dateMarch 26, 2021

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
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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