Individual provider Active NPI

Felicitas Onyekweli, NP

  • Family Nurse Practitioner
  • Greenbelt, MD
National Provider Identifier
1053020644
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R147509 Issued in MD
Practice address
7313 Hanover Pkwy
Greenbelt, MD 20770-2034
Phone
(301) 477-2643
Fax
(301) 498-7436
NPI assigned
Nov 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R147509 MD Primary

Addresses

Primary practice location

7313 Hanover Pkwy
Greenbelt, MD 20770-2034

Mailing address

7313 Hanover Pkwy
Greenbelt, MD 20770-2034
Phone (301) 477-2643

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231215000936 DC Practitioner - Nurse Practitioner 5395101596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Revive Medical and Aesthetic ClinicGroup PAC ID 6305202508, 2 clinicians

Practice addresses (Care Compare)

7313 Hanover Pkwy
Suite a
Greenbelt, MD 20770-3667
Phone (301) 412-5522

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Medical & Aesthetic Clinic CurrentSince Dec 21, 2022 Accepting new patients

Locations

7313 Hanover Pkwy
Ste A
Greenbelt, MD 20770
Phone (301) 412-5522

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDAADD/Endpoint/DDAADD

Organizations & group practices 1

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": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1053020644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7313 HANOVER PKWY",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702034",
            "telephone_number": "301-477-2643",
            "fax_number": "301-498-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7313 HANOVER PKWY",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702034",
            "telephone_number": "301-477-2643",
            "fax_number": "301-498-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEKWELI",
        "first_name": "FELICITAS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R147509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.