Individual provider Active NPI

Patrick Kaguamba Nganga

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1982916607
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R157620 Issued in MD
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

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 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
I20101201000822 MD Practitioner - Nurse Practitioner 8426244500 Reassigns benefits to 6 organizations
I20191018000818 DC Practitioner - Nurse Practitioner 8426244500 Reassigns benefits to 2 organizations

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
Harmony Counceling Center IncGroup PAC ID 3678829363, 3 clinicians

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

LicenseStateTypeSpecialty
R157620MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Rak Health Care Services, Inc. CurrentSince Sep 23, 2025 Accepting new patients
1St Medical Pain Management Specialists CurrentSince Feb 1, 2021 Accepting new patients
Wellness Source LLC Psychiatric/Mental Health CurrentSince Jul 7, 2019 Accepting new patients
Baltimore Washington Medical Center Inc. CurrentSince Jun 11, 2011 Accepting new patients
Supreme Remedy Psychiatric/Mental Health CurrentSince Jun 12, 2025 Accepting new patients
Baltimore Washington Medical Center Inc. Current Accepting new patients
Lartey Wellness Group LLC CurrentSince Aug 1, 2023 Accepting new patients
Baltimore Washington Medical Center Inc. CurrentSince Jun 11, 2011 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Harmony Counceling Center Inc CurrentSince Nov 1, 2021 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

  • Direct secure messaging: pnganga23111@direct.umm.edu
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.