Individual provider Active NPI

Jesse Okonigbo, NP

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1013363670
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R201977 Issued in MD
Practice address
10440 Little Patuxent Pkwy Ste 300
Columbia, MD 21044-3648
Phone
(240) 702-3574
NPI assigned
May 12, 2016
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse Practitioner 363LX0106X R201977 MD
Family Nurse Practitioner 363LF0000X R201977 MD Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R201977 MD

Addresses

Primary practice location

10440 Little Patuxent Pkwy Ste 300
Columbia, MD 21044-3648

Mailing address

10440 Little Patuxent Pkwy Ste 300
Columbia, MD 21044-3648
Phone (240) 702-3574

Other names 1

  • Jesse Okonigbo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170323000833 MD Practitioner - Nurse Practitioner 0840575387 Reassigns benefits to 7 organizations
I20180827000603 DC Practitioner - Nurse Practitioner 0840575387 Reassigns benefits to 5 organizations
I20251029003556 VA Practitioner - Nurse Practitioner 0840575387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Urgent Care LLCGroup PAC ID 6709256142, 125 clinicians
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

207 Gateway Dr
Winchester, VA 22603-5835
Phone (540) 535-1029

3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603-4850
Phone (443) 584-5787

45870 E Run Dr
Lexington Park, MD 20653-4362
Phone (240) 895-8630

500 Charles St
La Plata, MD 20646-5931
Phone (410) 451-1800

9851 Brook Rd
Glen Allen, VA 23059-4559
Phone (804) 893-8702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R201977MDMDOccupational Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jcare Health & Staffing Inc CurrentSince Dec 2, 2024 Accepting new patients
Bon Secours Urgent Care LLC CurrentSince Oct 6, 2025 Accepting new patients
Medstar Urgent Care LLC CurrentSince May 2, 2023 Accepting new patients
Umms Ambulatory Care LLC Current Accepting new patients
Umms Ambulatory Care LLC CurrentSince Jan 1, 2021 Accepting new patients
CRH MD Management LLC CurrentSince Jul 23, 2022 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Apr 15, 2025 Accepting new patients
Saving Lives Center LLC Family CurrentSince Jul 1, 2023 Accepting new patients
Umms Ambulatory Care LLC CurrentSince Jan 1, 2021 Accepting new patients
CRH MD Management, LLC CurrentSince Jul 23, 2022 Accepting new patients
Medstar Urgent Care, LLC Current Accepting new patients
Alignmed Partners, PC CurrentSince Jul 30, 2018 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince May 2, 2023 Accepting new patients
CRH MD Management LLC CurrentSince Jul 23, 2022 Accepting new patients
Statcare Group LLC Past Accepting new patients

Locations (25 of 27)

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

590 Lanier Ave W
Fayetteville, GA 30214

744 S Philadelphia Blvd
Ste B
Aberdeen, MD 21001
Phone (443) 345-2650

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

10440 Little Patuxent Pkwy
Ste 300
Columbia, MD 21044
Phone (240) 203-4457

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

8 Denton Plz
#1
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086

2315 Bel Air Rd
Ste C1
Fallston, MD 21047
Phone (443) 966-3900

3 Hillcrest Dr
Ste A101
Frederick, MD 21703
Phone (240) 575-9940

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

1 Magnolia Dr
La Plata, MD 20646
Phone (301) 934-4001

14280 Baltimore Ave
Laurel, MD 20707
Phone (240) 565-9022

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

130 Hospital Rd
Ste 102
Prince Frederick, MD 20678
Phone (410) 535-8911

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

750 Rockville Pike
Rockville, MD 20852
Phone (301) 424-0658

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

Networks

  • KY PPO
  • KY PPO C-SNP
  • TN PPO
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: jesse.okonigbo.1@28492.direct.athenahealth.com

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1013363670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 LITTLE PATUXENT PKWY STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443648",
            "telephone_number": "240-702-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 LITTLE PATUXENT PKWY STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443648",
            "telephone_number": "240-702-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONIGBO",
        "first_name": "JESSE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "MD",
            "license": "R201977",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R201977",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R201977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSE",
            "last_name": "OKONIGBO",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.