TENNI O JOHN-IDIAGBONYA FNP PMHNP
NPI 1053850008
Registered Nurse - Psychiatric/Mental Health, Adult in Catonsville, MD

Active since February 22, 2017PECOS EnrolledAccepts Medicare Assignment
55 WADE AVE, CATONSVILLE, MD 21228(410) 402-7718 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 16, 2025, Feb 22, 2017 (2 updates tracked since 2017).

About Tenni O John-idiagbonya Fnp Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TENNI O JOHN-IDIAGBONYA FNP PMHNP (NPI 1053850008) is an individual psychiatric/mental health, adult provider in Catonsville, Maryland, licensed in Maryland (R187565) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053850008
Entity TypeIndividualFemale
Primary Taxonomy163WP0809X
Provider Legal NameTENNI O JOHN-IDIAGBONYACredential: FNP PMHNP
Location Address55 WADE AVECatonsville, MD 21228-4663
Mailing Address55 Wade AveCatonsville, MD 21228-4663 · (410) 402-7718
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 22, 2017
Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
NPI 1053850008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License Licensed in MD · R187565
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 95020016 (CA)
55 WADE AVE, Catonsville, MD 21228

Secondary Practice Location 1

Location 112301 Wilshire Blvd Ste 512Los Angeles, CA 90025-1053 · Phone (888) 684-2779

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tenni O John-idiagbonya Fnp Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668840638
PECOS Enrollment IDI20221122003094
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Psychiatric)
55 WADE AVE
CATONSVILLE, MD 21228
Psychiatry & Neurology (Psychiatry)
55 WADE AVE
CATONSVILLE, MD 21228
Internal Medicine
55 WADE AVE
CATONSVILLE, MD 21228
Psychiatry & Neurology (Psychiatry)
55 WADE AVE
CATONSVILLE, MD 21228
Occupational Therapist
55 WADE AVE
BALTIMORE, MD 21228
Psychologist
55 WADE AVE
CATONSVILLE, MD 21228
Psychiatry & Neurology (Psychiatry)
55 WADE AVE
CATONSVILLE, MD 21228
Psychiatry & Neurology (Psychiatry)
55 WADE AVE
CATONSVILLE, MD 21228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tenni John-idiagbonya's NPI number?

The NPI number for Tenni John-idiagbonya is 1053850008. It was assigned to this individual provider in the NPPES registry on February 22, 2017.

Where is Tenni John-idiagbonya located?

Tenni John-idiagbonya practices at 55 Wade Ave, Catonsville, MD 21228. The listed phone number is (410) 402-7718.

What is Tenni John-idiagbonya's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

Is Tenni John-idiagbonya enrolled in Medicare?

Yes. Tenni John-idiagbonya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tenni John-idiagbonya accept?

Health plans from Florida Blue HMO (a BlueCross BlueShield FL company) and Providence Health Plan list Tenni John-idiagbonya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tenni John-idiagbonya was last updated on September 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.