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

Oluwakemi F Balogun

Individual provider Pediatrics Physician · NPI 1962963389

Oluwakemi F Balogun is a Nurse Practitioner in Glen Burnie, Maryland. Qualified in 2017, 9 years ago. Practices with Medhaven Health LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
9
Licensed in
MD
In the registry since
2019
Specialties on file
3

Practice location Address checks out

7310 Ritchie Hwy Ste 519
Glen Burnie, MD 21061-3099
Phone: (301) 501-5779
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 R200367 (MD)
Pediatrics Physician Taxonomy 208000000X · Licence R200367 (MD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R200367 (MD)

Record details

NPI number1962963389
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 28, 2019
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Medhaven Health Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Glen Burnie