Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Obehi Omoijuanfo

Individual provider Developmental Disabilities Clinic/Center · NPI 1164193462

Obehi Omoijuanfo is a Nurse Practitioner in Bowie, Maryland. Qualified in 2023, 3 years ago. Practices with Nimel Mental Health, a 4-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2021
Specialties on file
2

Practice location Address checks out

14905 Doveheart Ln
Bowie, MD 20721-3084
Phone: (240) 520-3197
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R202569 (MD)
Developmental Disabilities Clinic/Center Taxonomy 261QD1600X

Record details

NPI number1164193462
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 26, 2021
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Nimel Mental Health — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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