Individual provider Active NPI

Nneka Obianuju Ezunagu, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1902230253
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R174399 Issued in MD
Practice address
10632 Little Patuxent Pkwy Ste 330
Columbia, MD 21044-6299
Phone
(240) 437-4920
Fax
(240) 437-4877
NPI assigned
Aug 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R174399 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R174399 MD Primary

Addresses

Primary practice location

10632 Little Patuxent Pkwy Ste 330
Columbia, MD 21044-6299

Mailing address

10632 Little Patuxent Pkwy Ste 330
Columbia, MD 21044-6299
Phone (240) 437-4920

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
I20131008000016 DC Practitioner - Nurse Practitioner 5092949032 Reassigns benefits to 2 organizations
I20131008000071 MD Practitioner - Nurse Practitioner 5092949032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
My Client Mental Health and Wellness LLCGroup PAC ID 5092194316, 2 clinicians

Practice addresses (Care Compare)

10632 Little Patuxent Pkwy
Suite 330
Columbia, MD 21044-6299
Phone (240) 437-4920

Merit-based Incentive Payment System (MIPS)

Final score
73.74 of 100Reported as group
Quality
50.53
Promoting interoperability
55
Improvement activities
40
Cost
82.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R174399MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince May 12, 2018 Accepting new patients
My Client Psychiatric and Mental Health Services Inc CurrentSince Nov 9, 2021 Accepting new patients
My Client Mental Health and Wellness LLC CurrentSince May 27, 2022 Accepting new patients
Assured Access Medical Associates Inc. CurrentSince Jan 12, 2023 Accepting new patients
Milestones Counseling and Consulting Services CurrentSince May 27, 2022 Accepting new patients
Way Station, Inc. Current Accepting new patients
Dimensions Healthcare Associates Inc CurrentSince May 12, 2018 Accepting new patients

Locations

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

10632 Little Patuxent Pkwy
Ste 330
Columbia, MD 21044
Phone (240) 437-4920

7221 Hanover Pkwy
Ste C
Greenbelt, MD 20770
Phone (301) 439-4422

Organizations & group practices 8

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": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1902230253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10632 LITTLE PATUXENT PKWY STE 330",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446299",
            "telephone_number": "240-437-4920",
            "fax_number": "410-437-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10632 LITTLE PATUXENT PKWY STE 330",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446299",
            "telephone_number": "240-437-4920",
            "fax_number": "240-437-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZUNAGU",
        "first_name": "NNEKA",
        "middle_name": "OBIANUJU",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R174399",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R174399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.