Active NPI
Peterson Nguyen, PMHNP-BC, CRNA
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R217862
- Practice address
- 22 S Greene St FL 11
Baltimore, MD 21201-1544 - Phone
- (667) 214-1616
- NPI assigned
- Mar 5, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R217862 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R217862 | MD | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | R217862 | MD |
Addresses
Primary practice location
22 S Greene St FL 11
Baltimore, MD 21201-1544
Mailing address
22 S Greene St FL 11
Baltimore, MD 21201-1544
Phone (667) 214-1616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MD
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 Kernan Dr
Baltimore, MD 21207-6665
Phone (410) 328-6720
5401 Old Court Rd
Randallstown, MD 21133-5103
Phone 80051653155104
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group Anesthesiology LLC | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| North American Partners in Anesthesia Maryland LLC | Current | Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Current | Accepting new patients | |
| Lifebridge Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Maryland Anesthesiology Associates, P.a. | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Healthspan Comprehensive Health | Adult Health | Current | Accepting new patients |
Locations
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
2401 W Belvedere Ave
Baltimore, MD 21215
611 S Charles St
Baltimore, MD 21230
Phone (410) 328-6331
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
22 S Greene St
Fl 11
Baltimore, MD 21201
Phone (410) 328-6120
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000
2200 Kernan Dr
Woodlawn, MD 21207
Phone (410) 448-2500
Interoperability endpoints
- pnguyen471113@direct.umm.edu
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Randallstown, MD
- NPI 1003992868
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Baltimore, MD
- NPI 1720024235
-
dba MMG Anesthesiology LLC
- Anesthesiology Physician
- Baltimore, MD
- NPI 1528578333
-
- Anesthesiology Physician
- Prince Frederick, MD
- NPI 1093707879
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
-
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1013876879
Adult Health
-
- Anesthesiology Physician
- Washington, DC
- NPI 1558976175
-
dba Fair Oaks Clinic
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1841337805
-
- General Acute Care Hospital
- Randallstown, MD
- NPI 1487695888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1619479797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 S GREENE ST FL 11",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "667-214-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST FL 11",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "667-214-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "PETERSON",
"credential": "PMHNP-BC, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-05",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R217862",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R217862",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R217862",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.