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

Omokorede Fatile

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1275256992

Omokorede Fatile is a Nurse Practitioner in Pikesville, Maryland. Qualified in 2022, 4 years ago. Practices with Cnp Operating Co LLC, a 69-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana, Maryland, New York and Virginia and 1 more.

Years since qualifying
4
Licensed in
IN, MD, NY, VA, WV
In the registry since
2022
Specialties on file
6

Practice location Address checks out

1515 Reisterstown Rd Ste 304
Pikesville, MD 21208-4336
Phone: (718) 749-4346
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 R214086 (MD)
Adult Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0809X · Licence R214086 (MD)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 125356 (WV)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 0024195935 (VA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 71017850A (IN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 405486 (NY)

Record details

NPI number1275256992
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 20, 2022
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cnp Operating Co Llc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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