Individual provider Active NPI

Patricia Nkem Onyemeziem, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Timonium, MD
National Provider Identifier
1639862147
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R163432 Issued in MD
Practice address
1301 York Rd
Timonium, MD 21093-6035
Phone
(443) 442-4818
NPI assigned
May 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 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 R163432 MD Primary

Addresses

Primary practice location

1301 York Rd
Timonium, MD 21093-6035

Mailing address

10 Sunrise CT
Randallstown, MD 21133-3629
Phone (443) 765-5409

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
I20260504004966 MD Practitioner - Nurse Practitioner 1052889540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10 Sunrise CT
Randallstown, MD 21133-3629
Phone (443) 765-5409

101 Hollow Brook Rd
Lutherville, MD 21093-3436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R163432MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Mercy Holistic Care Psychiatric/Mental Health CurrentSince Jun 4, 2023 Accepting new patients

Organizations & group practices 2

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": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1639862147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SUNRISE CT",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211333629",
            "telephone_number": "443-765-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 YORK RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210936035",
            "telephone_number": "443-442-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEMEZIEM",
        "first_name": "PATRICIA",
        "middle_name": "NKEM",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R163432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

Verify at the official NPI Registry.