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

Individual provider Family Nurse Practitioner · NPI 1962163030

Oluwaseun Feyisetan is a Nurse Practitioner in Bowie, Maryland. Qualified in 2020, 6 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2021
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Practice location Address checks out

12629 Heming Ln
Bowie, MD 20716-1117
Phone: (408) 646-2844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R213271 (MD)

Record details

NPI number1962163030
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 31, 2021
Last updated in NPPESDecember 31, 2021
Certification dateDecember 31, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bowie