Individual provider Active NPI

Peace Nkeiruka Okorie, NP

  • Nurse Practitioner
  • Greenbelt, MD
National Provider Identifier
1124382767
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN966872 Issued in DC
Practice address
7300 Hanover Dr
Ste 301
Greenbelt, MD 20770-2249
Phone
(301) 345-1800
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R149680 MD
Nurse Practitioner 363L00000X RN966872 DC Primary

Addresses

Primary practice location

7300 Hanover Dr
Ste 301
Greenbelt, MD 20770-2249

Mailing address

7300 Hanover Dr
Ste 301
Greenbelt, MD 20770-2249
Phone (301) 345-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150520000523 DC Practitioner - Nurse Practitioner 8527388289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chitra Venkatraman MD PAGroup PAC ID 3870554074, 3 clinicians

Practice addresses (Care Compare)

7300 Hanover Dr
Suite 301
Greenbelt, MD 20770-2249
Phone (301) 345-1800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN966872DCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chitra Venkatraman, M.D., P.a. CurrentSince Jan 21, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6201 Greenbelt Rd
Ste U3
Berwyn Heights, MD 20740
Phone (301) 220-3500

7300 Hanover Dr
Ste 301
Greenbelt, MD 20770
Phone (301) 304-1546

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1124382767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 HANOVER DR",
            "address_2": "STE 301",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702249",
            "telephone_number": "301-345-1800",
            "fax_number": "301-345-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 HANOVER DR",
            "address_2": "STE 301",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702249",
            "telephone_number": "301-345-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKORIE",
        "first_name": "PEACE",
        "middle_name": "NKEIRUKA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R149680",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN966872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.