Individual provider Active NPI

Stella Ngozi Nkwocha, CRNP, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1487296828
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R198732 Issued in MD
Practice address
1800 N Charles St
Baltimore, MD 21201-5920
Phone
(667) 205-1350
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R198732 MD Primary
Family Nurse Practitioner 363LF0000X 198732 MD

Addresses

Primary practice location

1800 N Charles St
Baltimore, MD 21201-5920

Mailing address

6911 Real Princess LN
Gwynn Oak, MD 21207-4577
Phone (443) 455-0017

Other practice location 1

7476 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-3542
Phone (301) 957-0789

Other practice location 2

6911 Real Princess Ln
Gwynn Oak, MD 21207-4577
Phone (443) 455-0017

Other practice location 3

8800 Walther Blvd
Parkville, MD 21234-9001
Phone (410) 882-3240

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230622000366 MD Practitioner - Nurse Practitioner 6709244890 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
Group practices
Nexus Wellness GroupGroup PAC ID 3678951068, 2 clinicians
Nurse Practitioner on Call, LLCGroup PAC ID 1951671106, 6 clinicians

Practice addresses (Care Compare)

10220 S Dolfield Rd
Suite 204
Owings Mills, MD 21117-3624
Phone (410) 382-4536

1800 N Charles St
Suite 808
Baltimore, MD 21201-5999
Phone (240) 898-1810

6911 Real Princess LN
Gwynn Oak, MD 21207-4577
Phone (443) 455-0017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
198732MDMDFamily Nurse Practitioner
R198732MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nexus Wellness Group CurrentSince Apr 14, 2024 Accepting new patients
NP Medical Services LLC CurrentSince May 7, 2023 Accepting new patients
Nurse Practitioner on Call LLC Psychiatric/Mental Health CurrentSince Jun 25, 2023 Accepting new patients

Locations

1800 N Charles St
Baltimore, MD 21201
Phone (410) 625-5088

1800 N Charles St
Ste 804
Baltimore, MD 21201
Phone (240) 667-1679

10220 S Dolfield Rd
Ste 204
Owings Mills, MD 21117
Phone (410) 382-4536

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": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1487296828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 REAL PRINCESS LN",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212074577",
            "telephone_number": "443-455-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015920",
            "telephone_number": "667-205-1350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7476 Baltimore Annapolis Blvd",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210613542",
            "country_code": "US",
            "telephone_number": "301-957-0789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6911 Real Princess Ln",
            "address_purpose": "LOCATION",
            "city": "Gwynn Oak",
            "state": "MD",
            "postal_code": "212074577",
            "country_code": "US",
            "telephone_number": "443-455-0017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8800 Walther Blvd",
            "address_purpose": "LOCATION",
            "city": "Parkville",
            "state": "MD",
            "postal_code": "212349001",
            "country_code": "US",
            "telephone_number": "410-882-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NKWOCHA",
        "first_name": "STELLA",
        "middle_name": "NGOZI",
        "name_prefix": "Dr.",
        "credential": "CRNP, FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R198732",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "198732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.