Individual provider Active NPI

Maureen Muboh Ndzi, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1114663614
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R241043 Issued in MD
Practice address
11296 Laurelwalk Dr
Laurel, MD 20708-3005
Phone
(301) 385-3040
NPI assigned
May 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X R241043 MD Primary
Registered Nurse 163W00000X R241043 MD
Nurse Practitioner 363L00000X NP1058487 DC

Addresses

Primary practice location

11296 Laurelwalk Dr
Laurel, MD 20708-3005

Mailing address

11296 Laurelwalk Dr
Laurel, MD 20708-3005
Phone (301) 385-3040

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
I20260603000450 DC Practitioner - Nurse Practitioner 0345711180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11296 Laurelwalk Dr
Laurel, MD 20708-3005

5820 Dix St NE
Washington, DC 20019-6965

8101 Sandy Spring Rd
Suite 300W1
Laurel, MD 20707-3519

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP1058487DCMDNurse Practitioner
R241043MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Speranza Wellness Solutions, LLC CurrentSince Dec 14, 2025 Accepting new patients

Locations

517 Benfield Rd
Severna Park, MD 21146
Phone (301) 385-3040

Organizations & group practices 2

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": "1651881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1114663614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11296 LAURELWALK DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083005",
            "telephone_number": "301-385-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11296 LAURELWALK DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083005",
            "telephone_number": "301-385-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDZI",
        "first_name": "MAUREEN",
        "middle_name": "MUBOH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-07",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R241043",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R241043",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "NP1058487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.