Individual provider Active NPI

Eronmwon Yvonne Okonjo, CRNP

  • Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1447551072
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R161926 Issued in MD
Practice address
12530 Fairwood Pkwy Ste 102
Bowie, MD 20720-6357
Phone
(301) 728-7200
NPI assigned
Nov 12, 2010
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 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 R161926 MD Primary

Addresses

Primary practice location

12530 Fairwood Pkwy Ste 102
Bowie, MD 20720-6357

Mailing address

3720 Washington Blvd Ste 100
Arbutus, MD 21227-1660
Phone (410) 646-0001

Other practice location 1

3720 Washington Blvd Ste 100
Arbutus, MD 21227-1660
Phone (410) 646-0001

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
I20221018000160 MD Practitioner - Nurse Practitioner 4880060730 Reassigns benefits to 3 organizations
I20221019000424 DC Practitioner - Nurse Practitioner 4880060730 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
53.05 of 100Reported as group
Quality
49.52
Promoting interoperability
0
Improvement activities
40
Cost
77.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R161926MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC Current Accepting new patients
Ethelaura Care Clinics LLC Current Accepting new patients
Christiana Care Quality Partners CurrentSince Nov 12, 2025 Accepting new patients
MNR Industries, LLC CurrentSince Oct 1, 2022 Accepting new patients
Priority Care Primary Care Clinics CurrentSince Jun 1, 2024 Accepting new patients
MNR Industries, LLC Current Accepting new patients
CRH MD Management LLC CurrentSince Sep 1, 2023 Accepting new patients
MNR Industries, LLC CurrentSince Oct 1, 2022 Accepting new patients
MNR Industries, LLC CurrentSince Oct 1, 2022 Accepting new patients
Ethelaura Care Clinics LLC Current Accepting new patients
CRH MD Management LLC CurrentSince Sep 15, 2023 Accepting new patients
CRH MD Management, LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

590 Lanier Ave W
Fayetteville, GA 30214

3500 Boston St
Baltimore, MD 21224
Phone (410) 522-0001

3500 Boston St
Ste J1
Baltimore, MD 21224
Phone (410) 522-0001

3500 Boston St
Ste J2
Baltimore, MD 21224
Phone (410) 522-0001

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

217 E Churchville Rd
Bel Air, MD 21014
Phone (410) 698-2665

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

310 E Pulaski Hwy
Elkton, MD 21921
Phone (443) 485-6213

3720 Washington Blvd
Ste 100
Halethorpe, MD 21227
Phone (410) 646-0001

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

101 North East Plz
North East, MD 21901
Phone (410) 543-2020

5282 Campbell Blvd
Ste I
Nottingham, MD 21236
Phone (410) 933-2000

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

750 Rockville Pike
Rockville, MD 20852
Phone (301) 424-0658

550 Ritchie Hwy
Ste K
Severna Park, MD 21146
Phone (410) 646-0001

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1447551072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 WASHINGTON BLVD STE 100",
            "city": "ARBUTUS",
            "state": "MD",
            "postal_code": "212271660",
            "telephone_number": "410-646-0001",
            "fax_number": "410-646-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12530 FAIRWOOD PKWY STE 102",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207206357",
            "telephone_number": "301-728-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 Washington Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Arbutus",
            "state": "MD",
            "postal_code": "212271660",
            "country_code": "US",
            "telephone_number": "410-646-0001",
            "fax_number": "410-646-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKONJO",
        "first_name": "ERONMWON",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R161926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.