Individual provider Active NPI

Charity Osei-Bonnah

  • Family Nurse Practitioner
  • Arnold, MD
National Provider Identifier
1508549304
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R238795 Issued in MD
Practice address
305 College Pkwy
Arnold, MD 21012-2903
Phone
(410) 647-0015
Fax
(410) 647-0015
NPI assigned
Aug 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R238795 MD Primary
Family Nurse Practitioner 363LF0000X F07231205 MD

Addresses

Primary practice location

305 College Pkwy
Arnold, MD 21012-2903

Mailing address

1719 Willard Way
Severn, MD 21144-6831
Phone (240) 505-3867

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
I20240507003380 MD Practitioner - Nurse Practitioner 8527409655 Reassigns benefits to 7 organizations
I20250107000269 DC Practitioner - Nurse Practitioner 8527409655 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNF Physiatry Services MD LLCGroup PAC ID 1052837655, 15 clinicians
Kinetic Medical GroupGroup PAC ID 5294141909, 10 clinicians

Practice addresses (Care Compare)

400 E Pratt St
FL 8
Baltimore, MD 21202-3180

9544 Newbridge Dr
Potomac, MD 20854-4480
Phone (951) 760-1797

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07231205MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrahealth LLC CurrentSince Dec 16, 2024 Accepting new patients
Toller Enterprises LLC CurrentSince Dec 1, 2024 Accepting new patients
Integrahealth LLC CurrentSince Dec 16, 2024 Accepting new patients
Spiritual Healing CurrentSince Dec 1, 2024 Accepting new patients
Graceland Medical and Home Health Services LLC Family CurrentSince Feb 16, 2026 Accepting new patients
Toller Enterprises LLC Family CurrentSince Dec 1, 2024 Accepting new patients
Maryland Medical First P.a. CurrentSince Apr 1, 2024 Accepting new patients
Kinetic Medical Group Family CurrentSince Apr 1, 2025 Accepting new patients
Spiritual Healing CurrentSince Dec 1, 2024 Accepting new patients

Locations

1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552

821 N Charles St
Baltimore, MD 21201
Phone (443) 452-9612

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

413 Commonwealth Ave
Catonsville, MD 21228
Phone (410) 788-4250

144 Washington Rd
Edgewater, MD 21037
Phone (410) 956-5000

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

8901 Clement Ave
Parkville, MD 21234
Phone (410) 661-4670

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFGCA

Organizations & group practices 11

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": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1508549304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 WILLARD WAY",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211446831",
            "telephone_number": "240-505-3867",
            "fax_number": "410-647-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 COLLEGE PKWY",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122903",
            "telephone_number": "410-647-0015",
            "fax_number": "410-647-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEI-BONNAH",
        "first_name": "CHARITY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R238795",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "F07231205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

Verify at the official NPI Registry.