Individual provider Active NPI

Ikechukwu Wilson Nwosu, NP

  • Family Nurse Practitioner
  • Brandywine, MD
National Provider Identifier
1235504663
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R253041 Issued in MD
Practice address
7450 Albert Rd FL 3
Brandywine, MD 20613-3035
Phone
(301) 888-2233
Fax
(301) 997-1489
NPI assigned
Dec 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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 NP1023532 DC
Family Nurse Practitioner 363LF0000X R253041 MD Primary

Addresses

Primary practice location

7450 Albert Rd FL 3
Brandywine, MD 20613-3035

Mailing address

7450 Albert Rd FL 3
Brandywine, MD 20613-3035
Phone (301) 888-2233

Other practice location 1

2041 Martin Luther King Jr Ave SE
Suit 303
Washington, DC 20020-7024
Phone (202) 889-7901 ext. 219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160516000249 DC Practitioner - Nurse Practitioner 2860781887 Reassigns benefits to 2 organizations
I20250121000395 MD Practitioner - Nurse Practitioner 2860781887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Baden Medical Service IncorporatedGroup PAC ID 4981632650, 34 clinicians

Practice addresses (Care Compare)

6 Garrett Ave
La Plata, MD 20646-5959
Phone (301) 888-2233

7450 Albert Rd
FL 3
Brandywine, MD 20613-3035
Phone (301) 888-2233

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Medical Counseling Service, Inc CurrentSince Apr 3, 2016 Accepting new patients
Greater Baden Medical Service Incorporated Family CurrentSince Feb 3, 2025 Accepting new patients
Greater Baden Medical Service Incorporated CurrentSince Feb 3, 2025 Accepting new patients
Family and Medical Counseling Service Inc CurrentSince Apr 3, 2016 Accepting new patients
Greater Baden Medical Service Incorporated Past Accepting new patients
Family and Medical Counseling Service Inc Past Accepting new patients

Locations

2041 Martin Luther King Jr Ave SE
Ste 303
Washington, DC 20020
Phone 2028897900215

7450 Albert Rd
Ste 3
Brandywine, MD 20613

7450 Albert Rd
Fl 3
Brandywine, MD 20613
Phone (301) 599-0460

8030 Matthews Rd
#105107
Bryans Road, MD 20616

1458 Addison Rd S
Capitol Heights, MD 20743
Phone (301) 324-1500

6 Garrett Ave
La Plata, MD 20646
Phone (301) 539-5100

23140 Moakley St
Ste 4
Leonardtown, MD 20650
Phone (301) 997-1029

5936 Martin Luther King Jr Hwy
Seat Pleasant, MD 20743
Phone (202) 889-7901

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCBFAA

Organizations & group practices 6

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": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1235504663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 ALBERT RD FL 3",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133035",
            "telephone_number": "301-888-2233",
            "fax_number": "301-997-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 ALBERT RD FL 3",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133035",
            "telephone_number": "301-888-2233",
            "fax_number": "301-997-1489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 Martin Luther King Jr Ave SE",
            "address_2": "Suit 303",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200207024",
            "country_code": "US",
            "telephone_number": "202-889-7901 x219",
            "fax_number": "202-610-3095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWOSU",
        "first_name": "IKECHUKWU",
        "middle_name": "WILSON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-10",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP1023532",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R253041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandywine, MD

Sources for this page

Verify at the official NPI Registry.