Lydia Emuobosa Opara, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R199706 Issued in MD

Practice address

13225 Executive Park Ter
Germantown, MD 20874-2648

Phone

(301) 337-9642

Fax

(888) 347-2510

NPI assigned

Feb 24, 2021

Last updated

Nov 26, 2025By 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 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Supportive Care of Maryland LLCGroup PAC ID 9234460999, 38 clinicians

Lynsene Care LLCGroup PAC ID 8628430543, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.29 of 100Reported as group

Quality

73.37

Improvement activities

40

Cost

83.13

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20968/brand/1/csg/1/fhir/r4

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.

• Lynsene Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Montgomery Village, MD
  • NPI 1467134429

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Supportive Care of Maryland LLC

  • Psychologist
  • Riverdale, MD
  • NPI 1447802616

  DC

  Medicare reassignment Care Compare group NPD
• My Med Clinic PA

  • Geriatric Medicine (Family Medicine) Physician
  • Germantown, MD
  • NPI 1245403849
  NPD (past)

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1558955054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13225 EXECUTIVE PARK TER",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13225 EXECUTIVE PARK TER",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742648",
            "telephone_number": "301-337-9642",
            "fax_number": "888-347-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPARA",
        "first_name": "LYDIA",
        "middle_name": "EMUOBOSA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R199706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R199706",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olayiwola O Oloko
• Adjoke Akouvi Olympio
• Tiffanie J On
• Suzanne Amenan Ondjewaine Kadjo
• Daniel Rafael Ontiveros, DPT
• Open MRI of Germantown, LLC
• Optimum Physical Therapy and Wellness, LLC (Fyzical Therapy and Balance Centers)
• Joann Ordaz, CRNP
• Elohor Daniella Orhoevwri, OTA STUDENT
• Orthopaedic Manual Therapy Specialists, LLC

• Psychiatric/Mental Health Nurse Practitioner in Germantown, MD
• Providers in Germantown, 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 Nov 26, 2025; 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.