Individual provider Active NPI

Evelyn Nkoli Chukwurah, MSN

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1255908463
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R150851 Issued in MD
Practice address
8800 Walther Blvd
Baltimore, MD 21234-9001
Phone
(410) 882-3240
Fax
(410) 661-5093
NPI assigned
Jun 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R150851 MD Primary

Addresses

Primary practice location

8800 Walther Blvd
Baltimore, MD 21234-9001

Mailing address

5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (410) 882-3240

Other practice location 1

711 Maiden Choice Ln
Catonsville, MD 21228-3632
Phone (410) 247-5602

Other practice location 2

4615 Marielle Dr
Baltimore, MD 21237-3747
Phone (443) 799-6262

Other practice location 3

7051 Rockledge Dr
Bethesda, MD 20817-1680
Phone (301) 272-9830

Other practice location 4

3110 Gracefield Rd
Silver Spring, MD 20904-1820
Phone (301) 572-8340

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
I20211203001891 MD Practitioner - Nurse Practitioner 0446640544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

711 Maiden Choice LN
Catonsville, MD 21228-3632
Phone (410) 247-5602

8800 Walther Blvd
Baltimore, MD 21234-9001
Phone (410) 882-3240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R150851MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Erickson Health Medical Group of Maryland PC CurrentSince Nov 15, 2021 Accepting new patients
Erickson Health Medical Group of Maryland PC Family CurrentSince Nov 15, 2021 Accepting new patients
Erickson Health Medical Group of Maryland PC Past Accepting new patients

Locations

5730 Executive Dr
Ste 230
Catonsville, MD 21228
Phone (410) 402-2379

711 Maiden Choice Ln
Catonsville, MD 21228
Phone (410) 247-5602

8800 Walther Blvd
Parkville, MD 21234
Phone (410) 882-3238

Organizations & group practices 3

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": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1255908463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762",
            "telephone_number": "410-882-3240",
            "fax_number": "410-661-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 WALTHER BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212349001",
            "telephone_number": "410-882-3240",
            "fax_number": "410-661-5093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Maiden Choice Ln",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212283632",
            "country_code": "US",
            "telephone_number": "410-247-5602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4615 Marielle Dr",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212373747",
            "country_code": "US",
            "telephone_number": "443-799-6262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7051 Rockledge Dr",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171680",
            "country_code": "US",
            "telephone_number": "301-272-9830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3110 Gracefield Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209041820",
            "country_code": "US",
            "telephone_number": "301-572-8340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUKWURAH",
        "first_name": "EVELYN",
        "middle_name": "NKOLI",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R150851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.