Individual provider Active NPI

Marceline Lum Nkwenti, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1770369688
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R206386 Issued in MD
Practice address
9322 Steeple CT
Laurel, MD 20723-5825
Phone
(301) 642-6060
NPI assigned
Sep 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X R206386 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R206386 MD Primary

Addresses

Primary practice location

9322 Steeple CT
Laurel, MD 20723-5825

Mailing address

9322 Steeple CT
Laurel, MD 20723-5825
Phone (301) 642-6060

Other names 1

  • Marceline Lum Nkwenti Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20240130003417 MD Practitioner - Nurse Practitioner 2769835321 Reassigns benefits to 4 organizations
I20240716004687 DC Practitioner - Nurse Practitioner 2769835321 Reassigns benefits to 3 organizations

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
Integrahealth LLCGroup PAC ID 3678911625, 47 clinicians
Toller Enterprises, LLCGroup PAC ID 8628481926, 63 clinicians

Practice addresses (Care Compare)

10 N Rock Glen Rd
Baltimore, MD 21229-3250
Phone (410) 646-2100

2232 E Monument St
Baltimore, MD 21205-2431
Phone (667) 207-3552

3210 Powder Mill Rd
Hyattsville, MD 20783-1029
Phone (301) 937-3939

5721 Grosvenor LN
Bethesda, MD 20814-1833
Phone (301) 530-1600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R206386MDMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Nursing and Health Services LLC CurrentSince Aug 1, 2025 Accepting new patients
Toller Enterprises LLC Psychiatric/Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health Current Accepting new patients
Spiritual Healing Psychiatric/Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Spiritual Healing CurrentSince Jan 1, 2024 Accepting new patients
Toller Enterprises LLC CurrentSince May 4, 2024 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Jul 8, 2025 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Jul 8, 2025 Accepting new patients

Locations

1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

5721 Grosvenor Ln
Bethesda, MD 20814
Phone (301) 530-1600

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

Organizations & group practices 9

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": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1770369688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9322 STEEPLE CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207235825",
            "telephone_number": "301-642-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9322 STEEPLE CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207235825",
            "telephone_number": "301-642-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKWENTI",
        "first_name": "MARCELINE",
        "middle_name": "LUM",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2024-07-29",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MD",
            "license": "R206386",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R206386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCELINE",
            "last_name": "NKWENTI",
            "middle_name": "LUM",
            "credential": "PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.