Individual provider Active NPI

Chinyere Ugwanyi, CRNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1063831212
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R237702 Issued in MD
Practice address
5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344
Phone
(301) 637-4412
Fax
(443) 558-3779
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95027889 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X COA.15582-NP OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R237702 MD Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024175875 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP029327 PA

Addresses

Primary practice location

5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344

Mailing address

5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344
Phone (301) 263-7441

Other practice location 1

8904 Clearfield Curwensville Hwy
Clearfield, PA 16830-3520
Phone (703) 474-6362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190524000120 MD Practitioner - Nurse Practitioner 5597988592 Reassigns benefits to 1 organization
I20200825000242 DC Practitioner - Nurse Practitioner 5597988592 Reassigns benefits to 1 organization
I20201105001812 VA Practitioner - Nurse Practitioner 5597988592 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
Sharon ShavitGroup PAC ID 8729520192, 7 clinicians
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

100 Chalmers CT
Berryville, VA 22611-1347
Phone 5406929428708

1311 Dolley Madison Blvd
MC Lean, VA 22101-3937
Phone (571) 589-4042

5100 Buckeystown Pike
Suite 250
Frederick, MD 21704-8344
Phone (703) 474-6362

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95027889CAMDPsychiatric/Mental Health Nurse Practitioner
SP029327PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jun 24, 2020 Accepting new patients
Sharon Shavit CurrentSince Aug 1, 2024 Accepting new patients
Newlife Aspiration Behavioural Services, LLC CurrentSince Aug 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

5100 Buckeystown Pike
Ste 250
Frederick, MD 21704
Phone (301) 321-8245

6076 Franconia Rd
Ste D
Alexandria, VA 22310
Phone (703) 828-9054

100 Chalmers Ct
Berryville, VA 22611
Phone (540) 692-9428

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

1311 Dolley Madison Blvd
Bldg A
McLean, VA 22101
Phone (540) 818-5221

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

45575 Shepard Dr
#101
Sterling, VA 20164
Phone (703) 348-5217

Interoperability endpoints

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1063831212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BUCKEYSTOWN PIKE STE 250",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048344",
            "telephone_number": "301-263-7441",
            "fax_number": "443-558-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 BUCKEYSTOWN PIKE STE 250",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048344",
            "telephone_number": "301-637-4412",
            "fax_number": "443-558-3779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8904 Clearfield Curwensville Hwy",
            "address_purpose": "LOCATION",
            "city": "Clearfield",
            "state": "PA",
            "postal_code": "168303520",
            "country_code": "US",
            "telephone_number": "703-474-6362",
            "fax_number": "443-558-3779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UGWANYI",
        "first_name": "CHINYERE",
        "credential": "CRNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95027889",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "COA.15582-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R237702",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024175875",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP029327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.