Dominic M Omwenga

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AC003032 Issued in MD

Practice address

106 Bow St
Elkton, MD 21921-5544

Phone

(302) 897-1066

NPI assigned

Apr 1, 2020

Last updated

Apr 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DE, DC3 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 3

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Supportive Care of Maryland LLCGroup PAC ID 9234460999, 38 clinicians

Union Hospital of Cecil CountyGroup PAC ID 6901719822, 281 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032

Merit-based Incentive Payment System (MIPS)

Final score

78.57 of 100Reported as group

Quality

59.34

Promoting interoperability

89

Improvement activities

40

Cost

75.04

Merit-based Incentive Payment System (MIPS)

Final score

90.29 of 100Reported as group

Quality

73.37

Improvement activities

40

Cost

83.13

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dominicomwenga@ubo.allscriptsdirect.net

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.

• Supportive Care of Maryland LLC

  • Psychologist
  • Riverdale, MD
  • NPI 1447802616

  DC

  Medicare reassignment Care Compare group NPD
• Union Hospital of Cecil County

  • Internal Medicine Physician
  • Elkton, MD
  • NPI 1124067848
  Medicare reassignment Care Compare group NPD
• Union Hospital of Cecil County

  • Speech-Language Pathologist
  • Elkton, MD
  • NPI 1033865993
  NPD
• Union Hospital of Cecil County

  dba Open MRI and Imaging at Principio

  • Radiology Clinic/Center
  • Perryville, MD
  • NPI 1922246206
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Union Hospital of Cecil County

  • General Acute Care Hospital
  • Elkton, MD
  • NPI 1376523357
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1275161408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CHADDWYCK BLVD",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197208822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BOW ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215544",
            "telephone_number": "302-897-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMWENGA",
        "first_name": "DOMINIC",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC003032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Elise Colleen O'Bryan, DOULA
• Shane O'Hare, LCSW-C
• Oluwafolakemi Susan Ogunderu
• Christopher Adeoye Ogunremi
• Olumide T Omobo, M.D.
• One Price Drive Operations LLC (Elkton Center)
• Open MRI & Imaging Center of Elkton,LLC
• Cynthia Osato Osagie, LMSW
• Tana N Osborne, PTA
• Nicole Marie Osler

• Psychiatric/Mental Health Nurse Practitioner in Elkton, MD
• Providers in Elkton, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.

Verify at the official NPI Registry.