Individual provider Active NPI

Dawn Nwachukwu, FNP

  • Family Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1205191228
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R230948 Issued in MD
Practice address
6910 Bowers Rd Ste G
Frederick, MD 21702-3614
Phone
(410) 864-5693
Fax
(346) 483-8197
NPI assigned
Jul 5, 2012
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R230948 MD Primary
Registered Nurse 163W00000X R230948 MD

Addresses

Primary practice location

6910 Bowers Rd Ste G
Frederick, MD 21702-3614

Mailing address

6910 Bowers Rd Ste G
Frederick, MD 21702-3614
Phone (410) 864-5693

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.

Care Compare profile

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

Practice addresses (Care Compare)

303 Memorial Blvd W
Hagerstown, MD 21740-6219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R230948MDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cne Medical Staffing CurrentSince Aug 17, 2025 Accepting new patients
Cne Medical Staffing Current Accepting new patients

Locations

6910 Bowers Rd
Ste G
Frederick, MD 21702
Phone (410) 864-5693

1 Olympic Pl
Ste 900
Towson, MD 21204
Phone (404) 458-0809

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1205191228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 BOWERS RD STE G",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023614",
            "telephone_number": "410-864-5693",
            "fax_number": "346-483-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 BOWERS RD STE G",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023614",
            "telephone_number": "410-864-5693",
            "fax_number": "346-483-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWACHUKWU",
        "first_name": "DAWN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R230948",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R230948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.