Individual provider Active NPI

Oyebisi Oyefunmike Ogunleye, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Marlboro, MD
National Provider Identifier
1114619236
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R234752 Issued in MD
Practice address
3204 Cedar Way
Upper Marlboro, MD 20774-3534
Phone
(301) 326-7530
NPI assigned
May 25, 2023
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R234752 MD Primary

Addresses

Primary practice location

3204 Cedar Way
Upper Marlboro, MD 20774-3534

Mailing address

3204 Cedar Way
Upper Marlboro, MD 20774-3534
Phone (301) 326-7530

Other practice location 1

8040 Georgia Ave Ste 170
Silver Spring, MD 20910-4959
Phone (202) 360-4787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240517000289 DC Practitioner - Nurse Practitioner 0244678530 Reassigns benefits to 2 organizations
I20251115000446 MD Practitioner - Nurse Practitioner 0244678530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axis Healthcare GroupGroup PAC ID 1254409550, 76 clinicians

Practice addresses (Care Compare)

1150 Varnum St NE
Washington, DC 20017-2180
Phone (202) 360-4787

8040 Georgia Ave
Suite 170
Silver Spring, MD 20910-4959
Phone (202) 360-4787

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Healthcare Group CurrentSince Oct 3, 2025 Accepting new patients
Community Healthcare and Recovery Services LLC Psychiatric/Mental Health CurrentSince Apr 14, 2024 Accepting new patients
MCS, PC Psychiatric/Mental Health Past Accepting new patients

Locations

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

8040 Georgia Ave
Ste 170
Silver Spring, MD 20910
Phone (301) 284-0207

9701 Apollo Dr
Ste 293
Upper Marlboro, MD 20774
Phone (240) 821-2195

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1114619236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 CEDAR WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207743534",
            "telephone_number": "301-326-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 CEDAR WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207743534",
            "telephone_number": "301-326-7530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8040 Georgia Ave Ste 170",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209104959",
            "country_code": "US",
            "telephone_number": "202-360-4787",
            "fax_number": "202-360-4787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUNLEYE",
        "first_name": "OYEBISI",
        "middle_name": "OYEFUNMIKE",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R234752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.