HIBISCUS HEALTHCARE LLC
NPI 1386409621
Nurse Practitioner - Psychiatric/Mental Health in Suitland, MD

Active since February 15, 2024
5211 AUTH RD STE 203, SUITLAND, MD 20746(301) 412-5838 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hibiscus Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIBISCUS HEALTHCARE LLC (NPI 1386409621) is a healthcare organization registered as a psychiatric/mental health in Suitland, Maryland and active in the NPI registry since February 2024. The organization lists Marcia Burrell-odeyemi, Owner, as its authorized official.

NPPES Registry Identity

NPI1386409621
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHIBISCUS HEALTHCARE LLC
Location Address5211 AUTH RD STE 203Suitland, MD 20746-4339
Mailing Address5211 Auth Rd Ste 203Suitland, MD 20746-4339
Organization SubpartNo
Authorized OfficialMarcia Burrell-odeyemiOwner · (301) 412-5838
Enumeration DateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
✔ NPI 1386409621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
5211 AUTH RD STE 203, Suitland, MD 20746

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hibiscus Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Hibiscus Healthcare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1922759570
10539 SUGARBERRY ST
Waldorf, MD 20603
(301) 412-5838
✔ PECOS✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hibiscus Healthcare LLC's NPI number?

The NPI number for Hibiscus Healthcare LLC is 1386409621. It was assigned to this organization in the NPPES registry on February 15, 2024.

Where is Hibiscus Healthcare LLC located?

Hibiscus Healthcare LLC is located at 5211 Auth Rd Ste 203, Suitland, MD 20746. The listed phone number is (301) 412-5838.

What is Hibiscus Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Hibiscus Healthcare LLC enrolled in Medicare?

Yes. Hibiscus Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hibiscus Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Hibiscus Healthcare LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hibiscus Healthcare LLC was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.