Individual provider Active NPI

Theresa Oghosomhi Okereke, CRNP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1225454937
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R181818 Issued in MD
Practice address
28 Magothy Bridge Rd. Pasadena, MD. 21122
Baltimore, MD 21122
Phone
(866) 389-2727
Fax
(401) 652-9787
NPI assigned
Mar 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R181818 MD Primary

Addresses

Primary practice location

28 Magothy Bridge Rd. Pasadena, MD. 21122
Baltimore, MD 21122

Mailing address

28 Magothy Bridge Rd. Pasadena, MD. 21122
Baltimore, MD 21122
Phone (866) 389-2727

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
I20140610000599 MD Practitioner - Nurse Practitioner 8921222159 Reassigns benefits to 3 organizations
I20161103001123 DC Practitioner - Nurse Practitioner 8921222159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

1 CVS Dr
Woonsocket, RI 02895-6146

28 Magothy Beach Rd
Pasadena, MD 21122-4428
Phone (866) 389-2727

3708 Mountain Rd
Pasadena, MD 21122-2025
Phone (410) 553-2900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Sep 6, 2016 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 31, 2022 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 31, 2022 Accepting new patients
Minuteclinic Primary Care Maryland LLC Family CurrentSince Jul 12, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090

7809 Wisconsin Ave
Bethesda, MD 20814
Phone (301) 986-9144

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191

219 S Washington St
Easton, MD 21601

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

28 Magothy Beach Rd
Pasadena, MD 21122
Phone (410) 353-6306

3708 Mountain Rd
Pasadena, MD 21122
Phone (410) 255-1600

7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717

1001 York Rd
Towson, MD 21204
Phone (410) 823-3900

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

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": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1225454937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MAGOTHY BRIDGE RD. PASADENA, MD. 21122",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21122",
            "telephone_number": "866-389-2727",
            "fax_number": "401-652-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MAGOTHY BRIDGE RD. PASADENA, MD. 21122",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21122",
            "telephone_number": "866-389-2727",
            "fax_number": "401-652-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEREKE",
        "first_name": "THERESA",
        "middle_name": "OGHOSOMHI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R181818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.