Mary Ginikanwa Obiyo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R264224 Issued in MD

Practice address

219 S Washington St
Easton, MD 21601-2913

Phone

(701) 876-9227

NPI assigned

Dec 20, 2022

Last updated

Mar 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, WV, VA, TX, MD, DC, NY, FL, NH, NJ, NM11 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 11

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dr Rebman Medical PAGroup PAC ID 3678087400, 88 clinicians

Ivy Medical Group PLLCGroup PAC ID 4981097797, 120 clinicians

Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians

Lumina Care Medical NJ LLCGroup PAC ID 6608305156, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Woodmont Center Nursing home, Fredericksburg, VA, CCN 495246
• Crestwood Center Nursing home, Milford, NH, CCN 305061
• Heritage Center Nursing home, Huntington, WV, CCN 515060

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Essential Health Group LLC

  • Primary Care Clinic/Center
  • Upper Marlboro, MD
  • NPI 1164211215

  DC

  Medicare reassignment NPD Authorized official
• Daniel Funsch Jr, M.D., P.C.

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1316784580

  FL, WV

  Medicare reassignment Care Compare group NPD
• Dr Rebman Medical PA

  • Family Medicine Physician
  • Miami, FL
  • NPI 1669276689

  MD, NH, NM, NY, VA, WV

  Medicare reassignment Care Compare group NPD
• Lumina Care Medical NJ LLC

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1851118319

  NJ

  Medicare reassignment Care Compare group NPD
• Ivy Medical Group PLLC

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1700558798

  DC, FL, MD, NH, NM, VA, WV

  Medicare reassignment Care Compare group
• Dr Medical Services PC

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1053012401

  FL

  Medicare reassignment NPD
• Dr Rebman BH LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • New York, NY
  • NPI 1114894540

  FL, NH, NJ, NM, VA, WV

  Medicare reassignment NPD
• Maryanne Healthcare Services LLC

  • In Home Supportive Care Agency
  • Fairfax, VA
  • NPI 1801573423
  NPD
• 2101 Fairland Road Operations LLC

  dba Fairland Center

  • Skilled Nursing Facility
  • Silver Spring, MD
  • NPI 1487962536
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• 101 13TH Street Operations LLC

  dba Heritage Center

  • Skilled Nursing Facility
  • Huntington, WV
  • NPI 1912181223

  Nursing home

  Care Compare affiliation
• 11 Dairy Lane Operations LLC

  dba Woodmont Center

  • Skilled Nursing Facility
  • Fredericksburg, VA
  • NPI 1982885406

  Nursing home

  Care Compare affiliation
• 40 Crosby Street Operations LLC

  dba Crest

  • Skilled Nursing Facility
  • Milford, NH
  • NPI 1073176814

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1396457537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9304 BAY LEAF CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723298",
            "telephone_number": "701-876-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S WASHINGTON ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216012913",
            "telephone_number": "701-876-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIYO",
        "first_name": "MARY",
        "middle_name": "GINIKANWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R47033",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R264224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Paul Nowicki, LMSW
• Kevin Nugent, LGPC
• Rebecca Nussenbaum, DPT
• Marie Pierre Nuthall, LAC
• Obhg Maryland PC
• Antwi Ofori Amoateng
• Olive Branch Health Center
• Brandi Oliver, FNP-C
• David Greg Oliver, M.D.
• Michael Eugene Oliver, MPT

• Psychiatric/Mental Health Nurse Practitioner in Easton, MD
• Providers in Easton, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.