Individual provider Active NPI

Isabella Osiemo, CRNP

  • Gerontology Nurse Practitioner
  • Rosedale, MD
National Provider Identifier
1821637349
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R202111 Issued in MD
Practice address
1232 Race Rd Ste 403
Rosedale, MD 21237-2386
Phone
(480) 878-7806
Fax
(443) 732-0054
NPI assigned
Jan 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X R202111 MD Primary

Addresses

Primary practice location

1232 Race Rd Ste 403
Rosedale, MD 21237-2386

Mailing address

1232 Race Rd Ste 403
Rosedale, MD 21237-2386
Phone (480) 878-7806

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
I20200221000007 MD Practitioner - Nurse Practitioner 6608203252 Reassigns benefits to 2 organizations
I20200221000024 DC Practitioner - Nurse Practitioner 6608203252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimize Medical GroupGroup PAC ID 0446512040, 31 clinicians

Practice addresses (Care Compare)

1051 Brightseat Rd
Landover, MD 20785-3738
Phone (240) 487-4400

313 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 761-1222

Merit-based Incentive Payment System (MIPS)

Final score
21.79 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
72.64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Viewpoint Wellness LLC CurrentSince Dec 13, 2020 Accepting new patients
Varahe Health Services LLC CurrentSince Jan 1, 2025 Accepting new patients
Optimize Medical Group CurrentSince Feb 10, 2020 Accepting new patients
Post Acute Health Care Services LLC Past Accepting new patients

Locations

141 S Main St
Boonsboro, MD 21713
Phone (301) 432-5457

313 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 761-1222

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

1314 Bedford Ave
Ste 113
Pikesville, MD 21208
Phone (443) 868-7956

303 Adclare Rd
Rockville, MD 20850
Phone (301) 279-9000

1232 Race Rd
Ste 403
Rosedale, MD 21237
Phone (480) 878-7806

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": "1577836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1821637349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 RACE RD STE 403",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372386",
            "telephone_number": "480-878-7806",
            "fax_number": "443-732-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 RACE RD STE 403",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372386",
            "telephone_number": "480-878-7806",
            "fax_number": "443-732-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSIEMO",
        "first_name": "ISABELLA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-01",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R202111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

Verify at the official NPI Registry.