Nwanneka Chinonyelum Ndeche, CRNP-PMH

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R203560 Issued in MD

Practice address

1400 Mercantile LN Ste 200
Largo, MD 20774-5350

Phone

(443) 600-0776

NPI assigned

Jan 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Optimum Medical Group LLC

  • Primary Care Clinic/Center
  • Baltimore, MD
  • NPI 1326655283
  Medicare reassignment NPD
• People Encouraging People, Inc.

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1033234240
  NPD
• People Encouraging People, Inc.

  • Community/Behavioral Health Agency
  • Windsor Mill, MD
  • NPI 1275829111
  NPD
• Mighty Behavioral Health Services

  • Primary Care Clinic/Center
  • Baltimore, MD
  • NPI 1720569882

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1104414457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN STE 200",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745350",
            "telephone_number": "443-600-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN STE 200",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745350",
            "telephone_number": "443-600-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDECHE",
        "first_name": "NWANNEKA",
        "middle_name": "CHINONYELUM",
        "credential": "CRNP-PMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R203560",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R203560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP-PMH",
            "identifier": "R203560",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Medconnect",
            "affiliation": "N",
            "address_1": "1400 Mercantile Ln Ste 200",
            "city": "Largo",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207745350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Niyathi Naidu
• Arth Naik, DO
• Hyun Ju Nam, MD
• Easther Natumwa, HHA
• Josiane Flore Ndangum, FNP-BC
• Tita Pale Ndognjem, DNAP/CRNA
• Chinwe N. Ndubisi, APRN, CRNP-F, PH.D
• Rashidou Ndzekasaah
• Samantha Nealon, M.D.
• Neido Life and Healthcare Services LLC

• Psychiatric/Mental Health Nurse Practitioner in Largo, MD
• Providers in Largo, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.