Individual provider Active NPI

Edna Baffoe-Bonnie, FNP-BC

  • Family Nurse Practitioner
  • Owings Mills, MD
National Provider Identifier
1982117388
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017020880 Issued in MD
Practice address
4700 Dark Star Way
Owings Mills, MD 21117-4743
Phone
(215) 880-7421
NPI assigned
Nov 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X R185475 MD
Family Nurse Practitioner 363LF0000X 2017020880 MD Primary

Addresses

Primary practice location

4700 Dark Star Way
Owings Mills, MD 21117-4743

Mailing address

4700 Dark Star Way
Owings Mills, MD 21117-4743
Phone (215) 880-7421

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
I20180307001419 MD Practitioner - Nurse Practitioner 8224399241 Reassigns benefits to 4 organizations
I20240308000651 DC Practitioner - Nurse Practitioner 8224399241 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ennoble HC DMV LLCGroup PAC ID 9032517925, 112 clinicians
Hospice of the Chesapeake, Inc.Group PAC ID 0244202463, 8 clinicians

Practice addresses (Care Compare)

Washington, DC 20002
Phone (862) 812-9010

516 N Rolling Rd
Suite 108
Catonsville, MD 21228-4141
Phone (215) 800-7421

8115 Maple Lawn Blvd
Suite 350
Fulton, MD 20759-2683
Phone (973) 435-9463

90 Ritchie Hwy
Pasadena, MD 21122-4303

Hospital & facility affiliations

  • Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107
  • Amedisys Home Health Home health agency, Westminster, MD, CCN 217048
  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Home Call, Inc Home health agency, Westminster, MD, CCN 217115
  • Centerwell Home Health Home health agency, Columbia, MD, CCN 217071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017020880MDMDFamily Nurse Practitioner
R185475MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of the Chesapeake, Inc Single Specialty CurrentSince Dec 3, 2025 Accepting new patients
Ednamarie Health LLC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Ennoble HC DMV LLC Single Specialty CurrentSince Jul 25, 2023 Accepting new patients
Hospice of the Chesapeake, Inc CurrentSince Dec 3, 2025 Accepting new patients
Legacy Physiatry Group Maryland, LLC Single Specialty CurrentSince Feb 1, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

516 N Rolling Rd
Ste 108
Catonsville, MD 21228
Phone (301) 801-0427

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

8115 Maple Lawn Blvd
Ste 350
Fulton, MD 20759
Phone (240) 744-0001

9711 Washingtonian Blvd
Ste 550
Gaithersburg, MD 20878
Phone (240) 255-9804

90 Ritchie Hwy
Pasadena, MD 21122
Phone (410) 987-2003

962 Wayne Ave
Silver Spring, MD 20910
Phone (240) 744-0001

2505 Davis Rd
Waldorf, MD 20603
Phone (301) 861-5300

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

850 Central Pkwy E
Ste 275
Plano, TX 75074

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1982117388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 DARK STAR WAY",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174743",
            "telephone_number": "215-880-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 DARK STAR WAY",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174743",
            "telephone_number": "215-880-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAFFOE-BONNIE",
        "first_name": "EDNA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R185475",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "2017020880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.