Individual provider Active NPI

Ugonma P Nwokorie, PMHNP-BC

  • Adult Psychiatric/Mental Health Registered Nurse
  • Bowie, MD
National Provider Identifier
1154091767
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
R184954 Issued in MD
Practice address
1211 Golf Course Dr
Bowie, MD 20721-2326
Phone
(301) 728-8331
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X R184954 MD Primary

Addresses

Primary practice location

1211 Golf Course Dr
Bowie, MD 20721-2326

Mailing address

1211 Golf Course Dr
Bowie, MD 20721-2326
Phone (301) 728-8331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220516000118 DC Practitioner - Nurse Practitioner 1759768641 Reassigns benefits to 1 organization
I20240129004249 MD Practitioner - Nurse Practitioner 1759768641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Primary Care and WellnessGroup PAC ID 2769802685, 9 clinicians

Practice addresses (Care Compare)

14314 Old Marlboro Pike
Uppr Marlboro
Upper Marlboro, MD 20772-2840
Phone (301) 627-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Primary Care and Wellness CurrentSince May 2, 2022 Accepting new patients
K&I Healthcare Services CurrentSince Dec 18, 2023 Accepting new patients
Maryland Primary Care and Wellness CurrentSince May 2, 2022 Accepting new patients
K&I Healthcare Services CurrentSince Dec 18, 2023 Accepting new patients

Locations

4301 Garden City Dr
Ste 303
Landover, MD 20785
Phone (240) 616-7167

3921 Ferrara Dr
Silver Spring, MD 20906
Phone (301) 933-4283

14314 Old Marlboro Pike
Uppr
Uppr Marlboro, MD 20772
Phone (301) 627-3500

14314 Old Marlboro Pike
Uppr Marlboro, MD 20772
Phone (301) 627-3500

11637 Terrace Dr
Ste 201
Waldorf, MD 20602
Phone (240) 419-3803

Organizations & group practices 4

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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1154091767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 GOLF COURSE DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212326",
            "telephone_number": "301-728-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 GOLF COURSE DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212326",
            "telephone_number": "301-728-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOKORIE",
        "first_name": "UGONMA",
        "middle_name": "P",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MD",
            "license": "R184954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.