Active NPI
Charles Wangui, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R198299
- Practice address
- 2245 Eastern Ave
Baltimore, MD 21231-3113 - Phone
- (443) 489-9009
- NPI assigned
- Oct 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R198299 | MD | Primary |
Addresses
Primary practice location
2245 Eastern Ave
Baltimore, MD 21231-3113
Mailing address
2245 Eastern Ave
Baltimore, MD 21231-3113
Phone (443) 489-9009
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16 Flaxleaf CT
Baltimore, MD 21221-1752
Phone (443) 739-4202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overcare Health Services LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Johns Hopkins University | Psychiatry | Current | Accepting new patients |
| Overcare Health Services LLC | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Overcare Health Services LLC | Past | Accepting new patients | |
| Overcare Health Services LLC | Past | Accepting new patients |
Locations
2245 Eastern Ave
Baltimore, MD 21231
Phone (410) 675-6046
520 Forrest St
Baltimore, MD 21202
Phone (443) 489-9009
5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171
10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727
Interoperability endpoints
- cwangui380710@direct.hopkinsmedicine.org
Organizations & group practices 7
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
- Baltimore, MD
- NPI 1275205155
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Primary Care Clinic/Center
- Baltimore, MD
- NPI 1346077922
-
- Rehabilitation Clinic/Center
- Baltimore, MD
- NPI 1124714720
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1790471381
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Psychiatry Physician
- Baltimore, MD
- NPI 1891072286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681516800000",
"number": "1861034159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2245 EASTERN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212313113",
"telephone_number": "443-489-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 EASTERN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212313113",
"telephone_number": "443-489-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANGUI",
"first_name": "CHARLES",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-08",
"last_updated": "2023-04-15",
"certification_date": "2023-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R198299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2023; 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.