Individual provider Active NPI

Nkechi Mary Nwokoma

  • Psychiatric/Mental Health Nurse Practitioner
  • Germantown, MD
National Provider Identifier
1225880818
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R187148 Issued in MD
Practice address
18011 Barleycorn Way
Germantown, MD 20874-6332
Phone
(914) 420-7208
NPI assigned
Apr 4, 2024
Last updated
Apr 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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 R187148 MD Primary

Addresses

Primary practice location

18011 Barleycorn Way
Germantown, MD 20874-6332

Mailing address

18011 Barleycorn Way
Germantown, MD 20874-6332
Phone (914) 420-7208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20251230000915 MD Practitioner - Nurse Practitioner 1456847490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hightower Behavioral HealthGroup PAC ID 5799114591, 3 clinicians

Practice addresses (Care Compare)

420 Crain Hwy S
Suite 3
Glen Burnie, MD 21061-3657
Phone (240) 602-7035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R187148MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hightower Behavioral Health Psychiatric/Mental Health CurrentSince Nov 16, 2025 Accepting new patients

Locations

420 Crain Hwy S
Ste 3
Glen Burnie, MD 21061
Phone (240) 602-7035

Organizations & group practices 1

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": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1225880818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18011 BARLEYCORN WAY",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208746332",
            "telephone_number": "914-420-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18011 BARLEYCORN WAY",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208746332",
            "telephone_number": "914-420-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOKOMA",
        "first_name": "NKECHI",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R187148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.