Active NPI
Stephanie McDonnaugh, PMHNP-BC,FNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Millersville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R242409
- Practice address
- 1110 Benfield Blvd Ste H
Millersville, MD 21108-2644 - Phone
- (443) 788-9476
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | LO-0000101 | DE | |
| Nurse Practitioner | 363L00000X | R242409 | MD | |
| Family Nurse Practitioner | 363LF0000X | LG-0000668 | DE | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | L8-0000180 | DE | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R242409 | MD | Primary |
Addresses
Primary practice location
1110 Benfield Blvd Ste H
Millersville, MD 21108-2644
Mailing address
2618 Sequoia LN
Gambrills, MD 21054-1376
Phone (443) 788-9476
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 949-655-8724 | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1110 Benfield Blvd
Suite H
Millersville, MD 21108-2644
Phone (443) 788-9476
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0000668 | DE | MD | Family Nurse Practitioner |
| L8-0000180 | DE | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Associates, Inc | Current | Accepting new patients | |
| Westside Family Healthcare, Inc. | Current | Accepting new patients | |
| A Step to Wellness | Family | Current | Accepting new patients |
Locations
191 Christiana Rd
New Castle, DE 19720
Phone (302) 322-1794
191 Christiana Rd
Ste 3
New Castle, DE 19720
Phone (302) 322-1794
1802 W 4th St
Wilmington, DE 19805
Phone (302) 655-5576
908 E 16th St
Ste B
Wilmington, DE 19802
Phone (302) 225-1800
1110 Benfield Blvd
Ste H
Millersville, MD 21108
Phone (410) 693-6717
Organizations & group practices 3
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Millersville, MD
- NPI 1043828718
Family
-
- Family Medicine Physician
- New Castle, DE
- NPI 1275595613
-
- Federally Qualified Health Center (FQHC)
- Wilmington, DE
- NPI 1952303695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1821209677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2618 SEQUOIA LN",
"city": "GAMBRILLS",
"state": "MD",
"postal_code": "210541376",
"telephone_number": "443-788-9476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 BENFIELD BLVD STE H",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211082644",
"telephone_number": "443-788-9476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONNAUGH",
"first_name": "STEPHANIE",
"credential": "PMHNP-BC,FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LO-0000101",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R242409",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG-0000668",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DE",
"license": "L8-0000180",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R242409",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "949-655-8724",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "fax",
"address_1": "1110 Benfield Blvd Ste H",
"city": "Millersville",
"state": "MD",
"country_code": "US",
"postal_code": "211082644",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Millersville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.