Jesse Okonigbo, NP
Individual provider Active NPI Family Nurse Practitioner · Columbia, MD
NPI 1013363670 · NPPES record last updated Mar 11, 2025
Key facts
- NPI
- 1013363670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R201977 (MD)
- Practice address
- 10440 Little Patuxent Pkwy Ste 300
Columbia, MD 21044-3648 - Phone
- (240) 702-3574
- NPI assigned
- May 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 18
-
Dennis Odie, M.D.
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bon Secours Urgent Care LLC
Medstar Urgent Care LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MD, DC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles (16 of 20)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Urgent Care LLC | Current |
Accepting new patients | |
| Umms Ambulatory Care LLC | Current |
Accepting new patients | |
| Medstar Urgent Care, LLC | Current | Accepting new patients | |
| CRH MD Management LLC | Current |
Accepting new patients | |
| Jcare Health & Staffing Inc | Current |
Accepting new patients | |
| Umms Ambulatory Care LLC | Current | Accepting new patients | |
| Umms Ambulatory Care LLC | Current |
Accepting new patients | |
| Sondermind Provider Network LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Medstar Urgent Care LLC | Current |
Accepting new patients | |
| CRH MD Management LLC | Current |
Accepting new patients | |
| CRH MD Management, LLC | Current |
Accepting new patients | |
| Alignmed Partners, PC | Current |
Accepting new patients | |
| Bon Secours Urgent Care LLC | Current |
Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Saving Lives Center LLC | Family | Current |
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
6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890
3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544
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
14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684
14280 Baltimore Ave
Laurel, MD 20707
Phone (240) 565-9022
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
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
- TN PPO
Interoperability endpoints
- jesse.okonigbo.1@28492.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Health Nurse Practitioner | 363LX0106X | R201977 | MD | |
| Family Nurse Practitioner | 363LF0000X | R201977 | MD | Yes |
| 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
- Jesse Okonigbo
Other providers in Columbia, MD
- Christine C Okemkpa
- Harry A Oken
- Olpha Okero
- Oliver Okinyih
- Onosetale Mary Okojie
- Isioma Deborah Okonkwo
- Izegbuwa Okosun
- Mevin Okpala
- Martha Okuku
- Sharon Nicole Oladimeji
All providers in Columbia, MD · Family Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.