MR. KELVIN CHINAKWE OKWUDIOGOR NURSE PRACTITIONER
NPI 1407695646
Nurse Practitioner - Psychiatric/Mental Health in Waldorf, MD
About Mr. Kelvin Chinakwe Okwudiogor Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KELVIN CHINAKWE OKWUDIOGOR NURSE PRACTITIONER (NPI 1407695646) is an individual psychiatric/mental health provider in Waldorf, Maryland, licensed in District Of Columbia (NP1047502) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Silver Spring.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Kelvin Chinakwe Okwudiogor Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kelvin Okwudiogor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Riverdale, MD 20737
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 78 clinicians in this Medicare group
Silver Spring, MD 20910
- Reassigned Medicare billing, Maryland enrollment
- 141 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 20603 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WALDORF, MD 20603
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 Kelvin Okwudiogor's NPI number?
The NPI number for Kelvin Okwudiogor is 1407695646. It was assigned to this individual provider in the NPPES registry on May 20, 2024.
Where is Kelvin Okwudiogor located?
Kelvin Okwudiogor practices at 3200 Crain Hwy Ste 102, Waldorf, MD 20603. The listed phone number is (240) 478-2266.
What is Kelvin Okwudiogor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kelvin Okwudiogor enrolled in Medicare?
Yes. Kelvin Okwudiogor is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelvin Okwudiogor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelvin Okwudiogor reassigns Medicare benefits to 2 organizations: Supportive Care Of Maryland LLC (Riverdale, MD) and Axis Healthcare Group (Silver Spring, MD). Each 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 Kelvin Okwudiogor'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 Kelvin Okwudiogor was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mr. Kelvin Chinakwe Okwudiogor, NURSE PRACTITIONER · NPI 1407695646
Psychiatric/Mental Health physician in Waldorf, Maryland. Individual provider, active in the CMS NPPES registry since May 20, 2024.
## Identity
- **NPI:** 1407695646 (Entity type: Individual)
- **Enumerated:** May 20, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** NP1047502 (District of Columbia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3200 CRAIN HWY STE 102, Waldorf, MD 20603-4841
- **Phone:** (240) 478-2266
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Supportive Care Of Maryland LLC (NPI 1447802616, Riverdale, MD); Axis Healthcare Group (NPI 1326295098, Silver Spring, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407695646) · Data from the CMS NPPES public registry.