Individual provider Active NPI

Ogochukwu Enyi, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1194068866
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R1028341 Issued in DC
Practice address
8506 Snowden Loop
Laurel, MD 20708-2360
Phone
(240) 501-0232
NPI assigned
Apr 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R1028341 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R203505 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R1028341 DC Primary

Addresses

Primary practice location

8506 Snowden Loop
Laurel, MD 20708-2360

Mailing address

8506 Snowden Loop
Laurel, MD 20708
Phone (240) 501-0232

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
I20230927000406 DC Practitioner - Nurse Practitioner 2163807868 Reassigns benefits to 2 organizations

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
Wisconsin Ave Psychiatric Center IncGroup PAC ID 5991791162, 9 clinicians

Practice addresses (Care Compare)

4228 Wisconsin Ave NW
Washington, DC 20016-2138

Merit-based Incentive Payment System (MIPS)

Final score
89.92 of 100Reported as group
Quality
75.35
Improvement activities
40
Cost
89.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1028341DCMDRegistered Nurse
R203505MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Ave Psychiatric Center Inc Psychiatric/Mental Health CurrentSince Mar 6, 2024 Accepting new patients
Medivine Healthcare Services Inc Psychiatric/Mental Health CurrentSince Jun 26, 2022 Accepting new patients

Locations

4228 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 885-5600

Organizations & group practices 3

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": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1194068866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8506 SNOWDEN LOOP",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20708",
            "telephone_number": "240-501-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8506 SNOWDEN LOOP",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082360",
            "telephone_number": "240-501-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENYI",
        "first_name": "OGOCHUKWU",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "R1028341",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R203505",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "R1028341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.