CMS-1500 Box 24J / 33a • NPI
1083227177
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LP0808X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health
Box 32 Service Location & ZIP+4
13209 WATER FOWL WAY, UPPER MARLBORO, MD, 20774-7006
✓ 9-Digit EDI 837 ZIP+4 (20774-7006)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1083227177 (ADEBOLA ABE-FAPOHUNDA, PMHNP-BC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1083227177)
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Buprenorphine-Naloxone Buprenorphine Hcl/Naloxone Hcl | 123 | 12 |
| Hydroxyzine Pamoate Hydroxyzine Pamoate | 19 | <11 |
| Naltrexone Hcl Naltrexone Hcl | 12 | <11 |
| Quetiapine Fumarate Quetiapine Fumarate | 28 | <11 |
| Suboxone Buprenorphine Hcl/Naloxone Hcl | 19 | <11 |
| Trazodone Hcl Trazodone Hcl | 25 | 12 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1083227177 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ADEBOLA ABE-FAPOHUNDA, PMHNP-BC |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health NUCC Code: 363LP0808X (Nurse Practitioner, Psych/Mental Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 13209 WATER FOWL WAY, UPPER MARLBORO, MD, 20774-7006 |
| Practice Telephone / Fax | Tel: (301) 395-2175 |
| Administrative Mailing Address | 8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA, 22031-4512 |
| Enumeration & Last Sync | Enumerated: 2020-08-28 | CMS Record Updated: 2026-09-28 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in UPPER MARLBORO
🔒 Are you ADEBOLA ABE-FAPOHUNDA, PMHNP-BC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (363LP0808X)
What Does Taxonomy Code 363LP0808X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP0808X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADEBOLA ABE-FAPOHUNDA, PMHNP-BC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: NH | License: 083460-23 | Primary: Secondary |
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: MD | License: R166694 | Primary: Yes (Primary) |
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: MI | License: 470372385 | Primary: Secondary |
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: AZ | License: 248345 | Primary: Secondary |
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: VA | License: 00241829981 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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