Bernardo Le'Trel Adams, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Baltimore, MD
NPI 1497632145 · NPPES record last updated Aug 16, 2025
Key facts
- NPI
- 1497632145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- R220924 (MD)
- Practice address
- 6340 Security Blvd Ste 100
Baltimore, MD 21207-5284 - Phone
- (443) 431-1200
- NPI assigned
- Aug 16, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6340 Security Blvd
Suite 100
Baltimore, MD 21207-5284
78 Chase Cir
Elkton, MD 21921-3401
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251119000690 | MD | Practitioner - Nurse Practitioner | 6406347202 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R220924 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adams Health Group LLC | Current |
Accepting new patients |
Locations
6340 Security Blvd
Ste 100
Woodlawn, MD 21207
Phone (443) 413-9942
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R220924 | MD | Yes |
Addresses
Primary practice location
6340 Security Blvd Ste 100
Baltimore, MD 21207-5284
Mailing address
6340 Security Blvd Ste 100
Gwynn Oak, MD 21207-5284
Phone (443) 431-1200
Other providers in Baltimore, MD
- Ajia Shynae Adams
- Ajiyah Adams
- Ann Lowery Adams
- Asia Adams
- Benjamin Adams
- Bria Adams
- Brynne Adams
- Curtis N Adams
- Deborah Kay Adams
- Eddy Adams
All providers in Baltimore, MD · Psychiatric/Mental Health Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.