Individual provider Active NPI

Mobolanle Henrietta Osinubi, CRNP

  • Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1295666477
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201435 Issued in MD
Practice address
9070 Old Scaggsville Rd
Laurel, MD 20723-1726
Phone
(240) 264-0634
NPI assigned
May 27, 2026
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201435 MD Primary

Addresses

Primary practice location

9070 Old Scaggsville Rd
Laurel, MD 20723-1726

Mailing address

9070 Old Scaggsville Rd
Laurel, MD 20723-1726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Zotec Way
Carmel, IN 46032-0052

1413 Hwy 17 S 307
Surfside Beach, SC 29575-6040

PO Box
Baltimore, MD 21264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
201435MDMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1295666477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 OLD SCAGGSVILLE RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 OLD SCAGGSVILLE RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231726",
            "telephone_number": "240-264-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSINUBI",
        "first_name": "MOBOLANLE",
        "middle_name": "HENRIETTA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "201435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.