Individual provider Active NPI

Bibiana Anyanwu, CRNP

  • Adult Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1891778791
Registry record updated Oct 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R121315 Issued in MD
Practice address
16 Granny Smith CT
Baltimore, MD 21220-1749
Phone
(443) 717-4762
Fax
(443) 717-4762
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R121315 MD Primary

Addresses

Primary practice location

16 Granny Smith CT
Baltimore, MD 21220-1749

Mailing address

16 Granny Smith CT
Baltimore, MD 21220-1749
Phone (410) 391-7331

Other identifiers 1

IdentifierTypeStateIssuer
477109100MedicaidMD

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
I20071015000457 MD Practitioner - Nurse Practitioner 0648366179 Reassigns benefits to 2 organizations
I20221025003033 DC Practitioner - Nurse Practitioner 0648366179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
77.19
Improvement activities
40
Cost
63.38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M Medical Group, Inc. Current Accepting new patients
M Medical Group, Inc. CurrentSince May 11, 2022 Accepting new patients
M Medical Group, Inc. CurrentSince May 11, 2022 Accepting new patients
Bibi Adult Primary Care, Limited Liability Company CurrentSince Oct 1, 2024 Accepting new patients
Bibi Anyanwu Adult Primary Care CurrentSince Dec 6, 2025 Accepting new patients
Suyi Park, MD & Associates, PA Past Accepting new patients

Locations

2700 N Charles St
Baltimore, MD 21218
Phone (410) 554-6300

22 S Athol Ave
Baltimore, MD 21229
Phone (410) 566-5015

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760832000000",
    "number": "1891778791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GRANNY SMITH CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212201749",
            "telephone_number": "410-391-7331",
            "fax_number": "410-391-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GRANNY SMITH CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212201749",
            "telephone_number": "443-717-4762",
            "fax_number": "443-717-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYANWU",
        "first_name": "BIBIANA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2025-10-19",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R121315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "477109100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.