Olufisayo Omobo, NP - Medicare Nurse Practitioner in Glenn Dale, MD

Olufisayo Omobo, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Glenn Dale, Maryland. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 12200 Annapolis Rd Ste 225, Glenn Dale, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 266-5889.

Olufisayo Omobo is licensed to practice in Maryland (license number R245800) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1962284471.

Contact Information

Olufisayo Omobo, NP
12200 Annapolis Rd Ste 225,
Glenn Dale, MD 20769-9182
(240) 266-5889
(351) 214-3692

Map and Direction




Provider's Profile

Full NameOlufisayo Omobo
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location12200 Annapolis Rd Ste 225, Glenn Dale, Maryland
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Olufisayo Omobo graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1962284471
  • Provider Enumeration Date: 10/18/2023
  • Last Update Date: 02/12/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3779091293
  • Enrollment ID: I20250821002603

Medical Identifiers

Medical identifiers for Olufisayo Omobo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962284471NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health R245800 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Olufisayo Omobo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Olufisayo Omobo, NP
16701 Melford Blvd Ste S400,
Bowie, MD 20715-4305

Ph: (240) 266-5889
Olufisayo Omobo, NP
12200 Annapolis Rd Ste 225,
Glenn Dale, MD 20769-9182

Ph: (240) 266-5889

Reviews and Comments


Nurse Practitioner Nurses in Glenn Dale, MD

Audrey Olivia White, DNP, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12150 Annapolis Rd Ste 105, Glenn Dale, MD 20769
Phone: 240-460-1988    Fax: 301-805-2076
Elaine Young Bundy, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12150 Annapolis Rd, Suite 108, Glenn Dale, MD 20769
Phone: 301-860-1200    
Nelley Acheampong-buadu,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12150 Annapolis Rd Ste 101, Glenn Dale, MD 20769
Phone: 301-693-7590    
Mrs. Carolyn Michelle Allen, CRNP-F
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5802 King Arthur Way, Glenn Dale, MD 20769
Phone: 301-464-7614    
Mary Spencer, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8061 Springfield Rd, Glenn Dale, MD 20769
Phone: 434-390-6641    Fax: 240-206-3855
Irene A Ginczek, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12200 Annapolis Rd Ste 225, Glenn Dale, MD 20769
Phone: 301-867-2488    Fax: 301-390-6243
Mary Olabisi Peters, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12150 Annapolis Rd Ste 208, Glenn Dale, MD 20769
Phone: 301-218-0398    Fax: 301-218-0040

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.