DR. KINGSLEY C. ODIMEGWU PHMNP
NPI 1114763380
Nurse Practitioner - Psychiatric/Mental Health in Hyattsville, MD
About Dr. Kingsley C. Odimegwu Phmnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KINGSLEY C. ODIMEGWU PHMNP (NPI 1114763380) is an individual psychiatric/mental health provider in Hyattsville, Maryland, licensed in Maryland (R251564) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kingsley C. Odimegwu Phmnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20783 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HYATTSVILLE, MD 20783
HYATTSVILLE, MD 20783
HYATTSVILLE, MD 20783
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 Kingsley Odimegwu's NPI number?
The NPI number for Kingsley Odimegwu is 1114763380. It was assigned to this individual provider in the NPPES registry on July 6, 2024.
Where is Kingsley Odimegwu located?
Kingsley Odimegwu practices at 6475 New Hampshire Ave, Hyattsville, MD 20783. The listed phone number is (301) 270-0058.
What is Kingsley Odimegwu's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kingsley Odimegwu enrolled in Medicare?
Yes. Kingsley Odimegwu is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kingsley Odimegwu was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Dr. Kingsley C. Odimegwu, PHMNP · NPI 1114763380
Psychiatric/Mental Health physician in Hyattsville, Maryland. Individual provider, active in the CMS NPPES registry since July 6, 2024.
## Identity
- **NPI:** 1114763380 (Entity type: Individual)
- **Enumerated:** July 6, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R251564 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 6475 NEW HAMPSHIRE AVE, Hyattsville, MD 20783-3269
- **Phone:** (301) 270-0058
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114763380) · Data from the CMS NPPES public registry.