Individual provider Active NPI

Elvira Leinyuy Nguelewou, FNP/ACNP

  • Acute Care Nurse Practitioner
  • Windsor Mill, MD
National Provider Identifier
1780350033
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R212332 Issued in MD
Practice address
53 Rocky Brook CT
Windsor Mill, MD 21244-1471
Phone
(443) 627-1629
NPI assigned
Aug 17, 2021
Last updated
Nov 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R212332 MD
Acute Care Nurse Practitioner 363LA2100X R212332 MD Primary
Nurse Practitioner 363L00000X R212332 MD

Addresses

Primary practice location

53 Rocky Brook CT
Windsor Mill, MD 21244-1471

Mailing address

53 Rocky Brook CT
Windsor Mill, MD 21244-1471
Phone (443) 627-1629

Other practice location 1

827 Linden Ave
Baltimore, MD 21201-4606
Phone (410) 225-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20221025001047 DC Practitioner - Nurse Practitioner 7214303767 Reassigns benefits to 1 organization
I20230118000333 MD Practitioner - Nurse Practitioner 7214303767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

827 Linden Ave
Baltimore, MD 21201-4606
Phone (410) 225-8446

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.55 of 100Reported as group
Quality
81.34
Promoting interoperability
100
Improvement activities
40
Cost
70.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R212332MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Physicians P.a. Current Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Oct 31, 2022 Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Oct 31, 2022 Accepting new patients
University of Maryland Physicians P.a. CurrentSince Jun 30, 2025 Accepting new patients
Impact Diagnostic Lab & Health Services CurrentSince Jul 7, 2022 Accepting new patients
University of Maryland Physicians, P.a. CurrentSince Jun 30, 2025 Accepting new patients

Locations

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

1300 Mercantile Ln
Ste 136A
Upper Marlboro, MD 20774
Phone (301) 683-7041

Interoperability endpoints

  • Direct secure messaging: enguelewou450387@direct.umm.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1780350033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 ROCKY BROOK CT",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441471",
            "telephone_number": "443-627-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 ROCKY BROOK CT",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441471",
            "telephone_number": "443-627-1629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "827 Linden Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212014606",
            "country_code": "US",
            "telephone_number": "410-225-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUELEWOU",
        "first_name": "ELVIRA",
        "middle_name": "LEINYUY",
        "credential": "FNP/ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R212332",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R212332",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R212332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

Verify at the official NPI Registry.