Stella Chinonyerem Nnabugwu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R196080 Issued in MD

Practice address

2009 Saint Stephens Woods Dr
Crownsville, MD 21032-2200

Phone

(443) 929-9090

NPI assigned

Nov 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Onyeonoro Professional name

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Immaculate Healthcare Systems LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1033853643

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  MD, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Optimum Care Counseling & Wellness Solutions, LLC

  • Community/Behavioral Health Agency
  • Wyomissing, PA
  • NPI 1619217395
  NPD (past)

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1285236331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 SAINT STEPHENS WOODS DR",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322200",
            "telephone_number": "443-929-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 SAINT STEPHENS WOODS DR",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322200",
            "telephone_number": "443-929-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNABUGWU",
        "first_name": "STELLA",
        "middle_name": "CHINONYEREM",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R196080",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R196080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Baltimore",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2009 Saint Stephens Woods Dr",
            "city": "Crownsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210322200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ONYEONORO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• MWB Associates LLC
• Nancee Ann Baysinger Ann Nancee Ann Baysinger, LAC.
• Seamus Nash, BS; CSC-AD
• Deborah A Needle, CRNP
• Amanda Newswanger, M.ED.
• Novus Pain Management - Maryland, LLC
• Kayla Phippin
• Potomac Ridge Behavioral Health Anne Arundel
• Psi Ki
• Quickmd Medical Group PA

• Psychiatric/Mental Health Nurse Practitioner in Crownsville, MD
• Providers in Crownsville, 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 Jun 6, 2024; 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.