Individual provider Active NPI

Jacinta Oduro

  • Family Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1891422002
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R254850 Issued in MD
Practice address
184 Thomas Johnson Dr Ste 202L
Frederick, MD 21702-4564
Phone
(301) 201-3181
Fax
(301) 909-5995
NPI assigned
Aug 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R254850 MD Primary

Addresses

Primary practice location

184 Thomas Johnson Dr Ste 202L
Frederick, MD 21702-4564

Mailing address

184 Thomas Johnson Dr Ste 202L
Frederick, MD 21702-4564
Phone (301) 201-3181

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
I20221222000411 MD Practitioner - Nurse Practitioner 3870963556 Reassigns benefits to 4 organizations
I20221228001367 DC Practitioner - Nurse Practitioner 3870963556 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

1 CVS Dr
Woonsocket, RI 02895-6146

10095 Ward Rd
Dunkirk Mktplace
Dunkirk, MD 20754-2731
Phone (866) 389-2727

2601 Riva Rd
Annapolis, MD 21401-7304
Phone (866) 389-2727

300 Ballenger Ctr Dr
Frederick, MD 21703-7096
Phone (866) 389-2727

3110 Olney Sandy Spring Rd
Olney, MD 20832-1408
Phone (886) 389-2727

3350 Worthington Blvd
Frederick, MD 21704-7025
Phone (866) 389-2727

8032 C Liberty Rd
Frederick, MD 21701-3239
Phone (866) 389-2727

8197 Westside Blvd
Fulton, MD 20759-2590
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R254850MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Varahe Health Services LLC CurrentSince Feb 1, 2025 Accepting new patients
Minuteclinic Primary Care Maryland LLC Family CurrentSince Jul 12, 2025 Accepting new patients
Minuteclinic LLC Nurse Practitioner CurrentSince Nov 21, 2022 Accepting new patients
Adaptable Health Care CurrentSince Jan 1, 2025 Accepting new patients
Vohra Post Acute Care Physicians of the East, PA Nurse Practitioner CurrentSince Dec 9, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090

7809 Wisconsin Ave
Bethesda, MD 20814
Phone (301) 986-9144

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

10320 Little Patuxent Pkwy
Ste 200
Columbia, MD 21044
Phone (703) 988-2360

10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191

1910 Rosemont Ave
Frederick, MD 21702
Phone (240) 772-9140

184 Thomas Johnson Dr
Ste 202L
Frederick, MD 21702
Phone (240) 644-7563

3110 Olney Sandy Spring Rd
Olney, MD 20832
Phone (301) 774-6155

7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717

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

1001 York Rd
Towson, MD 21204
Phone (410) 823-3900

3350 Worthington Blvd
Urbana, MD 21704
Phone (240) 699-0018

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1891422002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 THOMAS JOHNSON DR STE 202L",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024564",
            "telephone_number": "301-201-3181",
            "fax_number": "301-909-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 THOMAS JOHNSON DR STE 202L",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024564",
            "telephone_number": "301-201-3181",
            "fax_number": "301-909-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODURO",
        "first_name": "JACINTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-07",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R254850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.