Octavia Genise Yancey, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R194184 Issued in MD

Practice address

820 Bestgate Rd
Annapolis, MD 21401-3404

Phone

(240) 593-1195

Fax

(410) 224-2118

NPI assigned

Mar 13, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Anne Arundel Gastroenterology Associates, P.a.Group PAC ID 1254337850, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Anne Arundel Gastroenterology Associates PA

  • Specialist
  • Annapolis, MD
  • NPI 1245258466

  DC

  Medicare reassignment Care Compare group NPD
• The Maryland Center for Digestive Health LLC

  • Ambulatory Surgical Clinic/Center
  • Annapolis, MD
  • NPI 1952333882
  NPD
• Anne Arundel Gastroenterology Associates PA

  • Gastroenterology Physician
  • Bowie, MD
  • NPI 1023830478
  NPD (past)
• Anne Arundel Gastroenterology Associates PA

  • Gastroenterology Physician
  • Odenton, MD
  • NPI 1053133793
  NPD (past)
• Anne Arundel Gastroenterology Associates PA

  • Gastroenterology Physician
  • Pasadena, MD
  • NPI 1457173197
  NPD (past)
• Anne Arundel Gastroenterology Associates PA

  • Gastroenterology Physician
  • Stevensville, MD
  • NPI 1851113500
  NPD (past)
• Silver Spring Medical Group LLC

  • Internal Medicine Physician
  • Bowie, MD
  • NPI 1275083511
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Luminis Health Anne Arundel Medical Center, Inc.

  • Clinical Medical Laboratory
  • Annapolis, MD
  • NPI 1356885032

  Hospital

  Care Compare affiliation
• Luminis Health Anne Arundel Medical Center, Inc.

  • General Acute Care Hospital
  • Annapolis, MD
  • NPI 1477517225
  Care Compare affiliation

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1891554846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 DR BEANS LEGACY CIR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207206385",
            "telephone_number": "240-593-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 BESTGATE RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013404",
            "telephone_number": "240-593-1195",
            "fax_number": "410-224-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCEY",
        "first_name": "OCTAVIA",
        "middle_name": "GENISE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R194184",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MD",
            "license": "R194184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Anne Wu, PT
• Shirley Wu, PHARMD
• Kelsey Elizabeth Wuest, CRNP
• Wye Oak Healthcare of Annapolis, LLC
• Wye Oak Healthcare of Annapolis, LLC
• Ellen Y Yang, M.D.
• Jessica Yang, O.D.
• Scott Thomas Yanus, DPT
• Julia Margaret Yates, AUD
• Tana H Yates, CRNP-A

• Nurse Practitioner in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.