Active NPI
Nkem O Nkwonta, MD
- Psychiatry Physician
- Wilkes Barre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MT237485
- Practice address
- 1000 E Mountain Blvd
Wilkes Barre, PA 18711-0001 - Phone
- (570) 808-2383
- NPI assigned
- Aug 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61343784 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 281753 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5016677 | NC | |
| Psychiatry Physician | 2084P0800X | MT237485 | PA | Primary |
Addresses
Primary practice location
1000 E Mountain Blvd
Wilkes Barre, PA 18711-0001
Mailing address
1000 E Mountain Blvd
Wilkes Barre, PA 18711-0001
Phone (570) 808-2383
Other practice location 1
2375 E Camelback Rd Ste 600
Phoenix, AZ 85016-3493
Phone (623) 323-9312
Other practice location 2
3511 Shannon Rd # 341
Durham, NC 27707-6330
Phone (844) 744-7944
Other practice location 3
1425 S Glenburnie Rd Ste 2
New Bern, NC 28562-2610
Phone (919) 230-8158
Other names 1
- NK O Nkwonta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Hospital Dr
Louisburg, NC 27549-2256
Phone (252) 436-4143
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT237485 | PA | MD | Psychiatry Physician |
| 281753 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| 5016677 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP61343784 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices LLC | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices LLC | Psychiatry | Current | Accepting new patients |
| SG Integrative Psychiatry and Wellness PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773
100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Organizations & group practices 4
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.
-
dba Maria Parham Primary Care
- Family Medicine Physician
- Henderson, NC
- NPI 1215273628
-
- Psychiatric/Mental Health Nurse Practitioner
- Spokane, WA
- NPI 1518682558
-
- Psychiatry Physician
- Louisburg, NC
- NPI 1467947127
-
- Rural Health Clinic/Center
- Henderson, NC
- NPI 1578256749
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Maria Parham Medical Center
- General Acute Care Hospital
- Henderson, NC
- NPI 1164707725
-
dba Maria Parham Franklin
- Psychiatric Hospital Unit
- Louisburg, NC
- NPI 1689166605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1629706577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E MOUNTAIN BLVD",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187110001",
"telephone_number": "570-808-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E MOUNTAIN BLVD",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187110001",
"telephone_number": "570-808-2383"
}
],
"practiceLocations": [
{
"address_1": "2375 E Camelback Rd Ste 600",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850163493",
"country_code": "US",
"telephone_number": "623-323-9312",
"fax_number": "509-495-1145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3511 Shannon Rd # 341",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277076330",
"country_code": "US",
"telephone_number": "844-744-7944",
"fax_number": "509-495-1145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1425 S Glenburnie Rd Ste 2",
"address_purpose": "LOCATION",
"city": "New Bern",
"state": "NC",
"postal_code": "285622610",
"country_code": "US",
"telephone_number": "919-230-8158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NKWONTA",
"first_name": "NKEM",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-09",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61343784",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "281753",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5016677",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MT237485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NK",
"last_name": "NKWONTA",
"middle_name": "O",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.