CLEMENTINA U NWANDU
NPI 1114574688
Nurse Practitioner - Psychiatric/Mental Health in Laurel, MD

Active since August 20, 2019PECOS Enrolled
14258 OXFORD DR, LAUREL, MD 20707(240) 603-6151 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clementina U Nwandu NPPES

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

CLEMENTINA U NWANDU (NPI 1114574688) is an individual psychiatric/mental health provider in Laurel, Maryland, licensed in Maryland (R134644) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114574688
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCLEMENTINA U NWANDU
Location Address14258 OXFORD DRLaurel, MD 20707-5854
Mailing Address14258 Oxford DrLaurel, MD 20707-5854 · (240) 603-6151
Sole ProprietorNo
Enumeration DateAugust 20, 2019
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1114574688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R134644
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R134644 (MD)
14258 OXFORD DR, Laurel, MD 20707

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clementina U Nwandu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Clementina Nwandu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
1818 NEW YORK AVE NE STE 203
Washington, DC 20002
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
14258 OXFORD DR
LAUREL, MD 20707

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 Clementina Nwandu's NPI number?

The NPI number for Clementina Nwandu is 1114574688. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Where is Clementina Nwandu located?

Clementina Nwandu practices at 14258 Oxford Dr, Laurel, MD 20707. The listed phone number is (240) 603-6151.

What is Clementina Nwandu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Clementina Nwandu enrolled in Medicare?

Yes. Clementina Nwandu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Clementina Nwandu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clementina Nwandu reassigns Medicare benefits to A Health Solution (Washington, DC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clementina Nwandu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Clementina Nwandu was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.