Individual provider Active NPI

Funmilayo Oni, CRNP

  • Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1366916686
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R199538 Issued in MD
Practice address
9405 6TH St N
Laurel, MD 20723-1939
Phone
(240) 593-6255
NPI assigned
Jan 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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 R199538 MD Primary

Addresses

Primary practice location

9405 6TH St N
Laurel, MD 20723-1939

Mailing address

14638 Wexhall Ter
Burtonsville, MD 20866-1911
Phone (240) 593-6255

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
I20190125000294 MD Practitioner - Nurse Practitioner 4880931047 Reassigns benefits to 3 organizations
I20201119001054 DC Practitioner - Nurse Practitioner 4880931047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Medical Group, Inc.Group PAC ID 7719278597, 104 clinicians

Practice addresses (Care Compare)

Laurel, MD 20723
Phone (240) 593-6255

900 Van Buren St
Annapolis, MD 21403-2124
Phone (410) 267-8653

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
77.19
Improvement activities
40
Cost
63.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R199538MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M Medical Group, Inc. CurrentSince Nov 1, 2023 Accepting new patients
HCR Manorcare Medical Services of Florida LLC Nurse Practitioner CurrentSince Nov 2, 2020 Accepting new patients
M Medical Group, Inc. Current Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Mar 23, 2019 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
M Medical Group, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Mar 23, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

900 Van Buren St
Annapolis, MD 21403
Phone (301) 933-2500

22 S Athol Ave
Baltimore, MD 21229
Phone (410) 566-5015

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

610 Dutchmans Ln
Easton, MD 21601
Phone (301) 664-2880

1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474

6500 Riggs Rd
Hyattsville, MD 20783
Phone (301) 434-0500

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767

6701 N Charles St
Ste 4105
Towson, MD 21204
Phone (443) 849-3184

L2540
Columbus, OH 43260

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": "1547942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1366916686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14638 WEXHALL TER",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661911",
            "telephone_number": "240-593-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 6TH ST N",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231939",
            "telephone_number": "240-593-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONI",
        "first_name": "FUNMILAYO",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-20",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R199538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.