Individual provider Active NPI

Shilla Pokuaa, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Aberdeen, MD
National Provider Identifier
1417455585
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R205295 Issued in MD
Practice address
125 S Philadelphia Blvd
Aberdeen, MD 21001-3205
Phone
(443) 692-2013
Fax
(508) 866-5102
NPI assigned
Jan 24, 2018
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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 R205295 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R205295 MD Primary

Addresses

Primary practice location

125 S Philadelphia Blvd
Aberdeen, MD 21001-3205

Mailing address

125 S Philadelphia Blvd
Aberdeen, MD 21001-3205
Phone (443) 692-2013

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
I20180302001531 DC Practitioner - Nurse Practitioner 3072874338 Reassigns benefits to 1 organization
I20230814004062 MD Practitioner - Nurse Practitioner 3072874338 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

125 S Philadelphia Blvd
Aberdeen, MD 21001-3205
Phone (443) 692-2013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R205295MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Mar 3, 2024 Accepting new patients
McNolan Healthcare Services CurrentSince May 29, 2023 Accepting new patients
Transitional Care Services Inc CurrentSince Jul 14, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 3, 2024 Accepting new patients
McNolan Healthcare Services CurrentSince May 19, 2024 Accepting new patients

Locations

125 S Philadelphia Blvd
Aberdeen, MD 21001
Phone (443) 692-2013

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

1340 Smith Ave
Ste 200
Mount Washington, MD 21209
Phone (410) 779-1314

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • Direct secure messaging: shilla.pokuaa.1@8042.direct.athenahealth.com

Organizations & group practices 5

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": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1417455585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S PHILADELPHIA BLVD",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210013205",
            "telephone_number": "443-692-2013",
            "fax_number": "508-866-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S PHILADELPHIA BLVD",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210013205",
            "telephone_number": "443-692-2013",
            "fax_number": "508-866-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKUAA",
        "first_name": "SHILLA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R205295",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R205295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

Verify at the official NPI Registry.