Efemwonyi Frank Jesuorobo, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R155911 Issued in MD

Practice address

3110 Gracefield Rd
Silver Spring, MD 20904-1820

Phone

(301) 572-8340

Fax

(301) 572-8403

NPI assigned

Jul 22, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arising Behavioral Health and Services LLC 8 clinicians

Affiliated Sante Group 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Affiliated Sante Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Silver Spring, MD
  • NPI 1083720569

  DC

  Medicare reassignment Care Compare group NPD
• His &Her Medical and Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Clinton, MD
  • NPI 1154094548

  DC, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Arising Behavioral Health and Services LLC

  • Psychiatry Physician
  • Washington, DC
  • NPI 1225735848

  DC

  Medicare reassignment Care Compare group NPD
• Premier Health Care, LLC

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1285017822

  DC

  Medicare reassignment NPD
• Psychogeriatric Services LLC

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1588689483

  DC, MD, Nurse Practitioner

  Medicare reassignment NPD
• Unity Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
  • NPI 1093894172

  DC

  Medicare reassignment NPD
• His &Her Medical and Mental Health Services

  • Family Nurse Practitioner
  • Oxon Hill, MD
  • NPI 1497428882

  Family

  NPD Authorized official
• Premier Health Care LLC

  • Internal Medicine Physician
  • Clinton, MD
  • NPI 1528538758
  NPD
• Unity Health Care Inc.

  • Community/Retail Pharmacy
  • Washington, DC
  • NPI 1346014412
  NPD
• Atrium Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1093597833
  NPD (past)
• Elevate Health Solutions, LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1437974961

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1760835003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6196 OXON HILL RD STE 290",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 GRACEFIELD RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041820",
            "telephone_number": "301-572-8340",
            "fax_number": "301-572-8403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6196 Oxon Hill Rd Ste 290",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207453141",
            "country_code": "US",
            "telephone_number": "202-546-4666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JESUOROBO",
        "first_name": "EFEMWONYI",
        "middle_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-22",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R155911",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R155911",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R155911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome B Gabry MDPC
• Karen L Jerome, M.D.
• Jerry S. Farber MD PA
• Dr. Debra Jervay-Pendergrass
• Emily T Jervis, PHYSICIAN ASSISTANT
• Timothy Glenn Jetton, R.PH.
• Jewish Foundation for Group Homes
• Jewish Social Service Agency
• Prakash Jha, MD, MPH
• Young Ae Ji, PH.D.

• All providers in Silver Spring, MD
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.