Individual provider Active NPI

Maureen N. Osegbe

  • Family Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1508416777
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03240094 Issued in MD
Practice address
12505 Kingsview St
Bowie, MD 20721-2028
Phone
(240) 565-8205
NPI assigned
Sep 18, 2019
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F03240094 MD Primary
Registered Nurse 163W00000X R204393 MD
Registered Nurse 163W00000X RN1031508 DC

Addresses

Primary practice location

12505 Kingsview St
Bowie, MD 20721-2028

Mailing address

12505 Kingsview St
Bowie, MD 20721-2028
Phone (240) 565-8205

Other practice location 1

6200 Baltimore Ave
Riverdale, MD 20737-1054
Phone (786) 788-5080

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 2405658205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251202003778 MD Practitioner - Nurse Practitioner 1850884602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12505 Kingsview St
Bowie, MD 20721-2028

6200 Baltimore Ave
Riverdale, MD 20737-1054

9500 Medical Ctr Dr
Suite 262
Largo, MD 20774

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R204393MDMDRegistered Nurse
F03240094MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M&M Abundant Life Urgent Care & Mental Health Clinic LLC Family CurrentSince Oct 31, 2025 Accepting new patients

Locations

1818 New York Ave NE
Ste 233
Washington, DC 20002
Phone (202) 706-4428

6200 Baltimore Ave
Riverdale, MD 20737
Phone (202) 898-2020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1508416777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 KINGSVIEW ST",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212028",
            "telephone_number": "240-565-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 KINGSVIEW ST",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212028",
            "telephone_number": "240-565-8205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Baltimore Ave",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "MD",
            "postal_code": "207371054",
            "country_code": "US",
            "telephone_number": "786-788-5080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSEGBE",
        "first_name": "MAUREEN",
        "middle_name": "N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "F03240094",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R204393",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1031508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2405658205",
            "affiliation": "N",
            "address_1": "12505 Kingsview St",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207212028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.