Individual provider Active NPI

Bernardine N Okpala

  • Family Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1184284424
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R171250 Issued in MD
Practice address
5412 Richardsons Endeavor Dr
Bowie, MD 20720-3395
Phone
(301) 256-6971
NPI assigned
Jun 18, 2019
Last updated
Dec 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R171250 MD Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN1007430 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R171250 MD

Addresses

Primary practice location

5412 Richardsons Endeavor Dr
Bowie, MD 20720-3395

Mailing address

5412 Richardsons Endeavor Dr
Bowie, MD 20720-3395
Phone (301) 256-6971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, DE2 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
I20210127001749 DC Practitioner - Nurse Practitioner 4183038433 Reassigns benefits to 3 organizations
I20260520004390 DE Practitioner - Nurse Practitioner 4183038433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 N W St
Suite 1200
Wilmington, DE 19801-1058
Phone (240) 583-7493

9420 Annapolis Rd
Suite 306307
Lanham, MD 20706-3021
Phone (240) 583-7493

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R171250MDMDFamily Nurse Practitioner
RN1007430DCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bernardine N Okpala Psychiatric/Mental Health CurrentSince Dec 1, 2020 Accepting new patients
Inner City Family Services LLC CurrentSince Oct 3, 2025 Accepting new patients
Inner City Family Services LLC PastSince Oct 3, 2025 Accepting new patients

Locations

2307 Martin Luther King Jr Ave SE
Washington, DC 20020
Phone (202) 525-4855

1000 N West St
Ste 1200
Wilmington, DE 19801
Phone (302) 449-6471

9420 Annapolis Rd
Ste 306307
Lanham, MD 20706

9420 Annapolis Rd
Ste 307
Lanham, MD 20706
Phone (240) 583-7493

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.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1184284424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 RICHARDSONS ENDEAVOR DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203395",
            "telephone_number": "301-256-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 RICHARDSONS ENDEAVOR DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203395",
            "telephone_number": "301-256-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPALA",
        "first_name": "BERNARDINE",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R171250",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "RN1007430",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R171250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.