Individual provider Active NPI

Esther Nonyelum Ejinaka

  • Psychiatric/Mental Health Nurse Practitioner
  • Hyattsville, MD
National Provider Identifier
1376310029
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R205561 Issued in MD
Practice address
1214 Goldmine CT
Hyattsville, MD 20785-5837
Phone
(240) 643-7073
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R205561 MD Primary

Addresses

Primary practice location

1214 Goldmine CT
Hyattsville, MD 20785-5837

Mailing address

1214 Goldmine CT
Hyattsville, MD 20785-5837
Phone (240) 643-7073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20250121000102 DC Practitioner - Nurse Practitioner 3274061866 Reassigns benefits to 1 organization
I20260521002771 MD Practitioner - Nurse Practitioner 3274061866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Magnolia Behavior Health Center LLCGroup PAC ID 5193165645, 4 clinicians

Practice addresses (Care Compare)

604 Solarex CT
Unit 205
Frederick, MD 21703-8655
Phone (240) 919-6062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R205561MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Solacestar Care LLC CurrentSince Oct 17, 2024 Accepting new patients

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": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1376310029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 GOLDMINE CT",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207855837",
            "telephone_number": "240-643-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 GOLDMINE CT",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207855837",
            "telephone_number": "240-643-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJINAKA",
        "first_name": "ESTHER",
        "middle_name": "NONYELUM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R205561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.