Evelyne Jeanne Makany Ndzana, CRNP-PMH

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

212540 Issued in MD

Practice address

5516 Tracey Bruce Dr
Adamstown, MD 21710-8914

Phone

(667) 275-1445

NPI assigned

Apr 14, 2021

Last updated

Apr 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bridge Integrating Group Practice LLC

  • Psychiatric/Mental Health Registered Nurse
  • Baltimore, MD
  • NPI 1821711706

  Single Specialty

  NPD
• Psychogeriatric Services LLC

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1588689483

  Single Specialty

  NPD
• Mindfulpathdc

  • Psychiatric/Mental Health Nurse Practitioner
  • Gwynn Oak, MD
  • NPI 1710816715

  Single Specialty

  NPD (past)
• Beth Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Frankfort, IL
  • NPI 1063193829

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1215518089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 TRACEY BRUCE DR",
            "city": "ADAMSTOWN",
            "state": "MD",
            "postal_code": "217108914",
            "telephone_number": "667-275-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5516 TRACEY BRUCE DR",
            "city": "ADAMSTOWN",
            "state": "MD",
            "postal_code": "217108914",
            "telephone_number": "667-275-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKANY NDZANA",
        "first_name": "EVELYNE",
        "middle_name": "JEANNE",
        "credential": "CRNP-PMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "212540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Grace Hering, PTA
• Victoria Fonte Kadan, CSC-AD
• Madhavi Kalavakuri
• Nicole Kosineski, CD(DONA)
• Catherine Rowena Lanham, RN
• Caroline McGee, RN, IBCLC
• Nesla Ngwatem
• Elvis Nkafu
• Vivian Ebika Orock, PMHNP
• Dhruvi Patel, DPT

• Psychiatric/Mental Health Nurse Practitioner in Adamstown, MD
• Providers in Adamstown, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.