Individual provider Active NPI

Honorine Ezia Wanie, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1245625649
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R194475 Issued in MD
Practice address
12073 Tech Rd Ste B
Silver Spring, MD 20904-7874
Phone
(301) 593-1513
NPI assigned
Apr 2, 2015
Last updated
Sep 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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 R194475 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R194475 MD Primary

Addresses

Primary practice location

12073 Tech Rd Ste B
Silver Spring, MD 20904-7874

Mailing address

7632 Tall Pin Oak Dr
Elkridge, MD 21075-6575
Phone (301) 613-5813

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hwanie@pgs-nhcare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20171004000250 MD Practitioner - Nurse Practitioner 5597042721 Reassigns benefits to 1 organization
I20171004000365 DC Practitioner - Nurse Practitioner 5597042721 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychogeriatric Services LLCGroup PAC ID 6002719226, 122 clinicians
Lartey Wellness Group LLCGroup PAC ID 1355735911, 5 clinicians

Practice addresses (Care Compare)

11215 Oak Leaf Dr
Suite 109
Silver Spring, MD 20901-1300
Phone (301) 593-4222

3701 International Dr
Silver Spring, MD 20906-1556
Phone (301) 598-8801

4101 Old National Pike
Pleasant View NH
Mt Airy, MD 21771-4115
Phone (301) 831-5850

8101 Sandy Spring Rd
Suite 250
Laurel, MD 20707-3527
Phone (800) 994-5403

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Behavioral Services, LLC CurrentSince Mar 15, 2020 Accepting new patients
Psychogeriatric Services LLC CurrentSince Aug 14, 2017 Accepting new patients
Lartey Wellness Group LLC CurrentSince Jul 31, 2023 Accepting new patients
Eshcol Behavioral Services LLC Psychiatric/Mental Health PastSince Nov 5, 2021 Accepting new patients

Locations

1835 University Blvd E
Ste 316
Hyattsville, MD 20783
Phone (301) 270-3200

8101 Sandy Spring Rd
Ste 250
Laurel, MD 20707
Phone (202) 355-8587

4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

Organizations & group practices 4

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1245625649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7632 TALL PIN OAK DR",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756575",
            "telephone_number": "301-613-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12073 TECH RD STE B",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047874",
            "telephone_number": "301-593-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANIE",
        "first_name": "HONORINE",
        "middle_name": "EZIA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R194475",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R194475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hwanie@pgs-nhcare.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12073 Tech Rd Ste B",
            "city": "Silver Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209047874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.