Individual provider Active NPI

Melanie Osefo

  • Psychiatric/Mental Health Nurse Practitioner
  • Crofton, MD
National Provider Identifier
1629561584
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2022067063 Issued in MD
Practice address
2411 Crofton LN Ste 14a
Crofton, MD 21114-1336
Phone
(240) 267-9595
Fax
(240) 363-2266
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022067063 MD Primary
Family Nurse Practitioner 363LF0000X R212770 MD

Addresses

Primary practice location

2411 Crofton LN Ste 14a
Crofton, MD 21114-1336

Mailing address

2411 Crofton LN Ste 14a
Crofton, MD 21114-1336
Phone (240) 267-9595

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
I20181120000590 MD Practitioner - Nurse Practitioner 9638423106 Reassigns benefits to 1 organization
I20211103003431 DC Practitioner - Nurse Practitioner 9638423106 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R212770MDMDFamily Nurse Practitioner
2022067063MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Express Healthcare, LLC CurrentSince Aug 30, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 1, 2023 Accepting new patients
Early Glow Health Psychiatric/Mental Health Past Accepting new patients
Express Healthcare, LLC Past Accepting new patients

Locations

6201 Greenbelt Rd
Ste M16
Berwyn Heights, MD 20740
Phone (301) 441-4400

6201 Greenbelt Rd
Ste M15
Berwyn Heights, MD 20740
Phone (301) 441-1112

4701 Melbourne Pl
College Park, MD 20740
Phone (301) 345-4400

8500 Annapolis Rd
Ste 200
New Carrollton, MD 20784
Phone (202) 373-5840

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1629561584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 CROFTON LN STE 14A",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141336",
            "telephone_number": "240-267-9595",
            "fax_number": "240-363-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 CROFTON LN STE 14A",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141336",
            "telephone_number": "240-267-9595",
            "fax_number": "240-363-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEFO",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "2022067063",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R212770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

Verify at the official NPI Registry.