Individual provider Active NPI

Vanessa Osula, DNP, RN, AGPCNP-BC

  • Nurse Practitioner
  • Glenn Dale, MD
National Provider Identifier
1225564628
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP1047050 Issued in DC
Practice address
12150 Annapolis Rd Ste 205
Glenn Dale, MD 20769-9183
Phone
(301) 805-1103
Fax
(301) 805-1104
NPI assigned
May 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP1047050 DC Primary
Nurse Practitioner 363L00000X R232351 MD
Nurse Practitioner 363L00000X RN1047050 DC
Adult Health Nurse Practitioner 363LA2200X R232351 MD
Adult Health Nurse Practitioner 363LA2200X RN1047050 DC
Gerontology Nurse Practitioner 363LG0600X 4704286812 MI

Addresses

Primary practice location

12150 Annapolis Rd Ste 205
Glenn Dale, MD 20769-9183

Mailing address

5215 Loughboro Rd NW #530
Washington, DC 20016
Phone (202) 895-0050

Other practice location 1

5215 Loughboro Rd NW #530
Washington, DC 20016
Phone (248) 662-0250

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
I20181022001480 DC Practitioner - Nurse Practitioner 5799054003 Reassigns benefits to 3 organizations
I20230616001243 MD Practitioner - Nurse Practitioner 5799054003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP1047050DCMDNurse Practitioner
RN1047050DCMDNurse Practitioner
R232351MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Nov 15, 2024 Accepting new patients
Johns Hopkins University Current Accepting new patients
Edomed Medical Associates LLC CurrentSince Jul 1, 2020 Accepting new patients
Johns Hopkins University CurrentSince Nov 15, 2024 Accepting new patients
Johns Hopkins University CurrentSince Nov 15, 2024 Accepting new patients
MD Behavioral Health LLC CurrentSince May 1, 2024 Accepting new patients

Locations

5215 Loughboro Rd NW
Ste 300
Washington, DC 20016
Phone (202) 243-2280

5215 Loughboro Rd NW
Ste 530
Washington, DC 20016
Phone (202) 895-0050

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

4000 Mitchellville Rd
Ste A414
Bowie, MD 20716
Phone (301) 249-8100

12150 Annapolis Rd
Ste 205
Glenn Dale, MD 20769
Phone (240) 476-4081

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Organizations & group practices 6

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": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1225564628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 LOUGHBORO RD NW #530",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20016",
            "telephone_number": "202-895-0050",
            "fax_number": "202-895-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD STE 205",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "301-805-1103",
            "fax_number": "301-805-1104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5215 Loughboro Rd NW #530",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20016",
            "country_code": "US",
            "telephone_number": "248-662-0250",
            "fax_number": "248-662-9845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSULA",
        "first_name": "VANESSA",
        "credential": "DNP, RN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-04",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "NP1047050",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R232351",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN1047050",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R232351",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DC",
            "license": "RN1047050",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704286812",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

Verify at the official NPI Registry.