Individual provider Active NPI

Jane Wanjira Mwangi, CRNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1699107250
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R166138 Issued in MD
Practice address
5610 Harford Rd
Baltimore, MD 21214-2247
Phone
(443) 600-0181
NPI assigned
Aug 6, 2013
Last updated
Aug 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R166138 MD
Family Nurse Practitioner 363LF0000X R166138 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R166138 MD Primary

Addresses

Primary practice location

5610 Harford Rd
Baltimore, MD 21214-2247

Mailing address

449 Hopkins Landing Dr
Essex, MD 21221-2229
Phone (443) 600-0181

Other practice location 1

8713 Harford Rd Ste 102
Parkville, MD 21234-4650
Phone (410) 870-1590

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
I20200211000611 MD Practitioner - Nurse Practitioner 4385070333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jamoy LLCGroup PAC ID 2264952357, 3 clinicians

Practice addresses (Care Compare)

1216 Lobo CT
Abingdon, MD 21009-4302
Phone (443) 841-6262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R166138MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jamoy LLC CurrentSince Apr 25, 2025 Accepting new patients
Well Being Counseling Services, LLC Current Accepting new patients
Primal Pointe Health CurrentSince Feb 14, 2021 Accepting new patients
Primal Pointe Health LLC Past Accepting new patients

Locations

5610 Harford Rd
Baltimore, MD 21214
Phone (443) 405-8005

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1699107250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 HOPKINS LANDING DR",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212212229",
            "telephone_number": "443-600-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142247",
            "telephone_number": "443-600-0181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8713 Harford Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Parkville",
            "state": "MD",
            "postal_code": "212344650",
            "country_code": "US",
            "telephone_number": "410-870-1590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MWANGI",
        "first_name": "JANE",
        "middle_name": "WANJIRA",
        "credential": "CRNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R166138",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R166138",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R166138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.