Active NPI
Patrick Kaguamba Nganga
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R157620
- Practice address
- 601 South Charles Street
Baltimore, MD 21230 - Phone
- (443) 326-7991
- NPI assigned
- Jul 10, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | R157620 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R157620 | MD | Primary |
Addresses
Primary practice location
601 South Charles Street
Baltimore, MD 21230
Mailing address
541 Fuselage Ave
Essex, MD 21221-3276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- 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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
541 Fuselage Ave
Baltimore, MD 21221-3276
Phone (443) 356-6855
7939 Honeygo Blvd
Suite 224
Nottingham, MD 21236-5992
Phone (410) 933-9700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R157620 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Rak Health Care Services, Inc. | Current | Accepting new patients | |
| 1St Medical Pain Management Specialists | Current | Accepting new patients | |
| Wellness Source LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Baltimore Washington Medical Center Inc. | Current | Accepting new patients | |
| Supreme Remedy | Psychiatric/Mental Health | Current | Accepting new patients |
| Baltimore Washington Medical Center Inc. | Current | Accepting new patients | |
| Lartey Wellness Group LLC | Current | Accepting new patients | |
| Baltimore Washington Medical Center Inc. | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Harmony Counceling Center Inc | Current | Accepting new patients | |
| Rak Health Care Services, Inc. | Past | Accepting new patients |
Locations
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
219 S Washington St
Easton, MD 21601
20 Mayo Rd
Ste 201
Edgewater, MD 21037
Phone (410) 956-6800
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
300 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4940
6305 Ivy Ln
Ste 101
Greenbelt, MD 20770
Phone (301) 235-0060
4301 Garden City Dr
Ste 304
Hyattsville, MD 20785
Phone (301) 235-0060
8101 Sandy Spring Rd
Ste 250
Laurel, MD 20707
Phone (202) 355-8587
7939 Honeygo Blvd
Ste 224
Nottingham, MD 21236
Phone (410) 933-3700
110 Painters Mill Rd
Ste 117A
Owings Mills, MD 21117
Phone (443) 394-9292
Interoperability endpoints
- pnganga23111@direct.umm.edu
- patrick.nganga.1@32304.direct.athenahealth.com
Organizations & group practices 12
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.
-
- Mental Health Counselor
- Nottingham, MD
- NPI 1861981276
-
- Psychiatric/Mental Health Nurse Practitioner
- Essex, MD
- NPI 1316832074
-
- Clinic/Center
- Edgewater, MD
- NPI 1902348659
-
- General Acute Care Hospital
- Glen Burnie, MD
- NPI 1124016696
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Owings Mills, MD
- NPI 1871240556
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
- Family Nurse Practitioner
- Hyattsville, MD
- NPI 1780031724
DC, Psychiatric/Mental Health
-
- Internal Medicine Physician
- Glen Burnie, MD
- NPI 1831378868
-
- Customized Equipment (DME)
- Glen Burnie, MD
- NPI 1881799344
-
- Psychiatry Physician
- La Plata, MD
- NPI 1679393854
-
- Community/Behavioral Health Agency
- Owings Mills, MD
- NPI 1679053516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1982916607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 FUSELAGE AVE",
"city": "ESSEX",
"state": "MD",
"postal_code": "212213276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 SOUTH CHARLES STREET",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21230",
"telephone_number": "443-326-7991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGANGA",
"first_name": "PATRICK",
"middle_name": "KAGUAMBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-10",
"last_updated": "2021-08-11",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MD",
"license": "R157620",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R157620",
"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 Aug 11, 2021; 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.