Individual provider Active NPI

Stella Elewechi Ogwumike

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, MD
National Provider Identifier
1457047219
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R226366 Issued in MD
Practice address
3 W Patapsco Ave
Brooklyn, MD 21225-1604
Phone
(443) 351-8926
NPI assigned
Apr 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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 R226366 MD Primary

Addresses

Primary practice location

3 W Patapsco Ave
Brooklyn, MD 21225-1604

Mailing address

3948 Deer Trail Way
Randallstown, MD 21133-2048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20241007003707 DC Practitioner - Nurse Practitioner 8426589011 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nuer Happy Solutions Psychiatric/Mental Health CurrentSince Sep 1, 2024 Accepting new patients

Organizations & group practices 1

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": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1457047219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 DEER TRAIL WAY",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 W PATAPSCO AVE",
            "city": "BROOKLYN",
            "state": "MD",
            "postal_code": "212251604",
            "telephone_number": "443-351-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGWUMIKE",
        "first_name": "STELLA",
        "middle_name": "ELEWECHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R226366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, MD

Sources for this page

Verify at the official NPI Registry.