Individual provider Active NPI

Evelyn Ngwini, PSYCH/MENTAL HEALTH

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Marlboro, MD
National Provider Identifier
1154681088
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R235284 Issued in MD
Practice address
14460 Old Mill Rd Ste 201
Upper Marlboro, MD 20772-3092
Phone
(202) 282-3004
Fax
(202) 282-2057
NPI assigned
May 25, 2012
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R235284 MD Primary

Addresses

Primary practice location

14460 Old Mill Rd Ste 201
Upper Marlboro, MD 20772-3092

Mailing address

10300 Ackerly Ter
Lanham, MD 20706-2353
Phone (301) 549-9062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R235284MDMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1154681088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 ACKERLY TER",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062353",
            "telephone_number": "301-549-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14460 OLD MILL RD STE 201",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723092",
            "telephone_number": "202-282-3004",
            "fax_number": "202-282-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGWINI",
        "first_name": "EVELYN",
        "credential": "PSYCH/MENTAL HEALTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R235284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.