Individual provider Active NPI

Madonna Ugbor

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1124423256
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN1006511 Issued in DC
Practice address
12203 Hurdleford CT
Bowie, MD 20720-3498
Phone
(202) 491-4654
NPI assigned
Oct 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1006511 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN1006511 DC Primary

Addresses

Primary practice location

12203 Hurdleford CT
Bowie, MD 20720-3498

Mailing address

12203 Hurdleford CT
Bowie, MD 20720-3498
Phone (202) 491-4654

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
I20230929001690 DC Practitioner - Nurse Practitioner 7618321241 Reassigns benefits to 1 organization

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
Mbi Health Services LLCGroup PAC ID 5294990453, 20 clinicians

Practice addresses (Care Compare)

4017 Minnesota Ave NE
Mbi Health Services Central Intake
Washington, DC 20019-3541
Phone (202) 388-9202

4130 Hunt PL NE
Washington, DC 20019-3565
Phone (202) 388-4300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1006511DCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mbi Health Services LLC CurrentSince Aug 30, 2023 Accepting new patients

Locations

4017 Minnesota Ave NE
Washington, DC 20019
Phone (202) 388-9202

4130 Hunt Pl NE
Washington, DC 20019
Phone (202) 388-4320

7200 Wisconsin Ave
Ste 702
Bethesda, MD 20814
Phone (202) 215-5348

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": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1124423256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12203 HURDLEFORD CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203498",
            "telephone_number": "202-491-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12203 HURDLEFORD CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203498",
            "telephone_number": "202-491-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGBOR",
        "first_name": "MADONNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1006511",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "RN1006511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.