Individual provider Active NPI

Grace Onuegbu, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1801363593
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R201290 Issued in MD
Practice address
8895 Centre Park Dr
Columbia, MD 21045-1966
Phone
(410) 670-3076
NPI assigned
Oct 31, 2018
Last updated
Oct 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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 R201290 MD Primary

Addresses

Primary practice location

8895 Centre Park Dr
Columbia, MD 21045-1966

Mailing address

2616 Deer Ridge Dr
Silver Spring, MD 20904-7158
Phone (443) 635-4355

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
I20181219000174 MD Practitioner - Nurse Practitioner 1658616701 Reassigns benefits to 1 organization
I20201009002006 DC Practitioner - Nurse Practitioner 1658616701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Psychiatric CareGroup PAC ID 7315167707, 3 clinicians

Practice addresses (Care Compare)

11886 Healing Way
Suite 504
Silver Spring, MD 20904-7917
Phone (410) 670-3076

2014 S Tollgate Rd
Suite 208
Bel Air, MD 21015-5904
Phone (410) 670-3076

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Psychiatric Care CurrentSince Nov 1, 2018 Accepting new patients
American Psychiatric Care Psychiatric/Mental Health CurrentSince Nov 1, 2018 Accepting new patients
American Psychiatric Care LLC CurrentSince Oct 1, 2020 Accepting new patients
American Psychiatric Care LLC Past Accepting new patients

Locations

2014 S Tollgate Rd
Ste 208
Bel Air, MD 21015
Phone (410) 670-3076

11886 Healing Way
Ste 504
Silver Spring, MD 20904
Phone (410) 670-3076

14631 Route 29
Ste 110
Centreville, VA 20121

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": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1801363593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 DEER RIDGE DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047158",
            "telephone_number": "443-635-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8895 CENTRE PARK DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451966",
            "telephone_number": "410-670-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONUEGBU",
        "first_name": "GRACE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R201290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.