Active NPI
Ikechukwu Wilson Nwosu, NP
- Family Nurse Practitioner
- Brandywine, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R253041
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family and Medical Counseling Service, Inc | Current | Accepting new patients | |
| Greater Baden Medical Service Incorporated | Family | Current | Accepting new patients |
| Greater Baden Medical Service Incorporated | Current | Accepting new patients | |
| Family and Medical Counseling Service Inc | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Brandywine, MD
- NPI 1912927344
DC, Family
-
- Adult Mental Health Clinic/Center
- Washington, DC
- NPI 1548316177
-
- Federally Qualified Health Center (FQHC)
- Seat Pleasant, MD
- NPI 1164978912
-
- Federally Qualified Health Center (FQHC)
- Lexington Park, MD
- NPI 1487469243
-
- Federally Qualified Health Center (FQHC)
- Oxon Hill, MD
- NPI 1083950521
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1124363072
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.