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MR. KELVIN CHINAKWE OKWUDIOGOR NURSE PRACTITIONER
NPI 1407695646
Nurse Practitioner - Psychiatric/Mental Health in Waldorf, MD

Active since May 20, 2024PECOS Enrolled
3200 CRAIN HWY STE 102, WALDORF, MD 20603(240) 478-2266 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2026, Nov 3, 2025 (2 updates tracked since 2025).

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

NPI1407695646
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. KELVIN CHINAKWE OKWUDIOGORCredential: NURSE PRACTITIONER
Location Address3200 CRAIN HWY STE 102Waldorf, MD 20603-4841
Mailing Address3200 Crain Hwy Ste 102Waldorf, MD 20603-4841 · (240) 478-2266
Phone(240) 478-2266
Sole ProprietorYes
Enumeration DateMay 20, 2024
Last NPPES UpdateFebruary 6, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1407695646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in DC · NP1047502
3200 CRAIN HWY STE 102, Waldorf, MD 20603
Open in Google Maps ↗

Secondary Practice Location 1

Location 18040 Georgia Ave Ste 170Silver Spring, MD 20910-4959 · Phone (202) 360-4787 · Fax (202) 360-4787

Medicare Participation & PECOS CMS

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

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).

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.

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.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 2

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

MR. NJI JULIUS FRU
Nurse Practitioner (Family)
3200 CRAIN HWY STE 102
WALDORF, MD 20603
Charles County (301) 675-1652
F&M BEHAVIORAL HEALTHCARE SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
3200 CRAIN HWY STE 102
WALDORF, MD 20603
Charles County (301) 675-1652

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.

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 5 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.