Individual provider Active NPI

Stella Obianuju Akpuaka, DNP, FNP-BC, PMHNP-C

  • Family Nurse Practitioner
  • Lanham, MD
National Provider Identifier
1972977353
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R133517 Issued in MD
Practice address
9470 Annapolis Rd # 115
Lanham, MD 20706-3025
Phone
(301) 708-0100
NPI assigned
Nov 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R133517 MD Primary
Family Nurse Practitioner 363LF0000X RN59492 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R133517 MD
Primary Care Nurse Practitioner 363LP2300X RN59492 DC
Primary Care Nurse Practitioner 363LP2300X R133517 MD

Addresses

Primary practice location

9470 Annapolis Rd # 115
Lanham, MD 20706-3025

Mailing address

7 Parkcrest CT
Upper Marlboro, MD 20774-1542
Phone (301) 908-5669

Other identifiers 1

IdentifierTypeStateIssuer
421722500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200717000128 DC Practitioner - Nurse Practitioner 3779907233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9470 Annapolis Rd
Suite 115
Lanham, MD 20706-3025
Phone (301) 708-0100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN59492DCMDPrimary Care Nurse Practitioner
R133517MDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vastcare Medical Clinic Psychiatric/Mental Health Current Accepting new patients

Locations

9470 Annapolis Rd
Ste 115
Lanham, MD 20706
Phone (301) 580-9215

Organizations & group practices 2

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": "1448150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1972977353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PARKCREST CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741542",
            "telephone_number": "301-908-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD # 115",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063025",
            "telephone_number": "301-708-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKPUAKA",
        "first_name": "STELLA",
        "middle_name": "OBIANUJU",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC, PMHNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R133517",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN59492",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R133517",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DC",
            "license": "RN59492",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R133517",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421722500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.