Individual provider Active NPI

Olufunke Okegbenro, RN, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1174881411
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R231491 Issued in MD
Practice address
5626B Oakland Mills Rd
Columbia, MD 21045-3218
Phone
(202) 379-5672
NPI assigned
Apr 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R231491 MD Primary

Addresses

Primary practice location

5626B Oakland Mills Rd
Columbia, MD 21045-3218

Mailing address

5626B Oakland Mills Rd
Columbia, MD 21045-3218
Phone (202) 379-5672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20250918004279 MD Practitioner - Nurse Practitioner 3072017359 Reassigns benefits to 3 organizations
I20250919001053 DC Practitioner - Nurse Practitioner 3072017359 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrahealth LLCGroup PAC ID 3678911625, 47 clinicians
Toller Enterprises, LLCGroup PAC ID 8628481926, 63 clinicians

Practice addresses (Care Compare)

10 N Rock Glen Rd
Baltimore, MD 21229-3250
Phone (410) 646-2100

2232 E Monument St
Baltimore, MD 21205-2431
Phone (667) 207-3552

3210 Powder Mill Rd
Hyattsville, MD 20783-1029
Phone (443) 452-9612

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Toller Enterprises LLC Psychiatric/Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Sep 8, 2025 Accepting new patients
Divine Help Healthcare Services Inc. CurrentSince Oct 17, 2021 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Sep 8, 2025 Accepting new patients
Spiritual Healing Psychiatric/Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Spiritual Healing CurrentSince Aug 1, 2025 Accepting new patients
Toller Enterprises LLC CurrentSince Aug 1, 2025 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health Current Accepting new patients

Locations

1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

5721 Grosvenor Ln
Bethesda, MD 20814
Phone (301) 530-1600

109 Forest Valley Dr
Forest Hill, MD 21050
Phone (410) 776-6038

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

Organizations & group practices 9

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": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1174881411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626B OAKLAND MILLS RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453218",
            "telephone_number": "202-379-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5626B OAKLAND MILLS RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453218",
            "telephone_number": "202-379-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEGBENRO",
        "first_name": "OLUFUNKE",
        "credential": "RN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R231491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.