Ihuoma Marvelous Udeagha, DNP, FNP-C, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R212266 Issued in MD

Practice address

West Virginia University Medicine Brain & Spine
13 Western Maryland Parkway, Ste 106
Hagerstown, MD 21740

Phone

(304) 596-5178

NPI assigned

Sep 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MD, WV2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Medical Center Hospital, Ranson, WV, CCN 511319

Merit-based Incentive Payment System (MIPS)

Final score

95.34 of 100Reported as apm

Quality

79.86

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Blossom Integrated Health and Behavioral Services LLC

  • Psychiatry Physician
  • Hagerstown, MD
  • NPI 1851081095
  Medicare reassignment NPD Authorized official
• West Virginia University Medical Corporation

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1275504508

  MD

  Medicare reassignment Care Compare group NPD
• Blossom Integrated Health and Behavioral Services LLC

  • Multi-Specialty Clinic/Center
  • Hagerstown, MD
  • NPI 1003653783
  NPD (past) Authorized official
• Blossom Integrated Health and Behavioral Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hagerstown, MD
  • NPI 1043057722
  NPD (past) Authorized official
• West Virginia University Medical Corporation

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1174233530
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jefferson Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Ranson, WV
  • NPI 1104242569
  Care Compare affiliation
• Jefferson Memorial Hospital

  • Internal Medicine Physician
  • Ranson, WV
  • NPI 1316364953

  Hospital

  Care Compare affiliation
• Jefferson Memorial Hospital

  • Critical Access Hospital
  • Ranson, WV
  • NPI 1891722377
  Care Compare affiliation
• Jefferson Memorial Hospital

  • Anesthesiology Physician
  • Ranson, WV
  • NPI 1982704961

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1649828633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 MILL ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406138",
            "telephone_number": "240-347-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEST VIRGINIA UNIVERSITY MEDICINE BRAIN & SPINE",
            "address_2": "13 WESTERN MARYLAND PARKWAY, STE 106",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21740",
            "telephone_number": "304-596-5178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "338 Mill St",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217406138",
            "country_code": "US",
            "telephone_number": "240-347-4494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "WEST VIRGINIA UNIVERSITY MEDICINE, BRAIN & SPINE",
            "address_2": "880 N. TENNESSEE AVE. STE 104",
            "address_purpose": "LOCATION",
            "city": "MARTINSBURG, WV 25401",
            "state": "WV",
            "postal_code": "25401",
            "country_code": "US",
            "telephone_number": "304-569-5178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDEAGHA",
        "first_name": "IHUOMA",
        "middle_name": "MARVELOUS",
        "credential": "DNP, FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R212266",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R212266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ihuoma.Udeagha@wvumedicine.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "WEST VIRGINIA UNIVERSITY MEDICINE, BRAIN & SPINE",
            "address_2": "880 N. TENNESSEE AVE. STE 104",
            "city": "MARTINSBURG, WV 25401",
            "state": "WV",
            "country_code": "US",
            "postal_code": "25401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ihuoma.udeagha@wvumedicine.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "WEST VIRGINIA UNIVERSITY MEDICINE BRAIN & SPINE",
            "address_2": "13 WESTERN MARYLAND PARKWAY, STE 106",
            "city": "HAGERSTOWN",
            "state": "MD",
            "country_code": "US",
            "postal_code": "21740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Zia U Uddin, MD
• Neha Udeshi
• Arianna Ramona Ugalde
• Emily Ulisney
• Brandon Scott Ulmer
• Ultimate Hearing Solutions VI, LLC

• Psychiatric/Mental Health Nurse Practitioner in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.

Verify at the official NPI Registry.