DOREEN ACKOM-OWUSU FNP-BC, PMHNP-C
NPI 1477262863
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since November 15, 2022PECOS Enrolled
1503 E NORTH AVE, BALTIMORE, MD 21213(443) 452-3692(443) 560-0380 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 26, 2026, Mar 11, 2026, Nov 15, 2022 (3 updates tracked since 2022).

About Doreen Ackom-owusu Fnp-bc, Pmhnp-c NPPES

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

DOREEN ACKOM-OWUSU FNP-BC, PMHNP-C (NPI 1477262863) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R192406) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1477262863
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDOREEN ACKOM-OWUSUCredential: FNP-BC, PMHNP-C
Location Address1503 E NORTH AVEBaltimore, MD 21213-1408
Mailing Address19426 Fisher AvePoolesville, MD 20837-2256 · (443) 452-3692 · Fax (443) 560-0380
Fax(443) 560-0380
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 15, 2022
Last NPPES UpdateMarch 26, 20263 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
NPI 1477262863 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 · R192406
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R192406 (MD)
1503 E NORTH AVE, Baltimore, MD 21213

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Doreen Ackom-owusu Fnp-bc, Pmhnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173091113
PECOS Enrollment IDI20260603000098
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 21213 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 13

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

Clinic/Center (Developmental Disabilities)
1503 E NORTH AVE
BALTIMORE, MD 21213
Registered Nurse (Pediatrics)
1503 E NORTH AVE
BALTIMORE, MD 21213
Behavior Analyst
1503 E NORTH AVE
BALTIMORE, MD 21213
Substance Abuse Rehabilitation Facility
1503 E NORTH AVE
BALTIMORE, MD 21213
Nurse Practitioner (Family)
1503 E NORTH AVE
BALTIMORE, MD 21213
Behavior Technician
1503 E NORTH AVE
BALTIMORE, MD 21213
Behavior Technician
1503 E NORTH AVE
BALTIMORE, MD 21213
Behavior Technician
1503 E NORTH AVE
BALTIMORE, MD 21213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477262863, enumerated as an "individual" on November 15, 2022.

The provider is located at 1503 E NORTH AVE BALTIMORE, MD 21213 and the phone number is (443) 452-3692.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.