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POSITIVE PATHWAYS AND WELLNESS CENTER
NPI 1679313761
Nurse Practitioner - Psychiatric/Mental Health in Hagerstown, MD

Active since May 28, 2024
28 JONATHAN ST, HAGERSTOWN, MD 21740(240) 413-1255(301) 576-8573 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2026, Nov 25, 2025, Jun 4, 2025 and 2 more (5 updates tracked since 2024).

About Positive Pathways And Wellness Center NPPES

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

POSITIVE PATHWAYS AND WELLNESS CENTER (NPI 1679313761) is a healthcare organization registered as a psychiatric/mental health in Hagerstown, Maryland and active in the NPI registry since May 2024. The organization maintains a secondary practice location in Olney and lists Alexandra Boursiquot, Owner, as its authorized official.

NPPES Registry Identity

NPI1679313761
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePOSITIVE PATHWAYS AND WELLNESS CENTER
Location Address28 JONATHAN STHagerstown, MD 21740-4802
Mailing Address4005 Gelding LnOlney, MD 20832-1735
Phone(240) 413-1255
Fax(301) 576-8573
Organization SubpartNo
Authorized OfficialAlexandra BoursiquotOwner · (240) 413-1255
Enumeration DateMay 28, 2024
Last NPPES UpdateSeptember 1, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1679313761 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
28 JONATHAN ST, Hagerstown, MD 21740
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Secondary Practice Location 1

Location 14005 Gelding LnOlney, MD 20832-1735 · Phone (240) 413-1255 · Fax (301) 576-8573

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Positive Pathways And Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Positive Pathways And Wellness Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Annick Kelly, DNP, PMHNP-BC
Nurse Practitioner
NPI 1184554305
10 JONATHAN ST
Hagerstown, MD 21740
(240) 486-6756
✔ PECOSSame address
Adesola Adefowoju
Nurse Practitioner
NPI 1518713668
20 PLEASANT RIDGE DR STE G
Owings Mills, MD 21117
(443) 438-6893
✔ PECOS52 mi
Alexandra Boursiquot
Nurse Practitioner
NPI 1245752278
4206 75TH AVE
Hyattsville, MD 20784
(240) 413-1255
✔ PECOS66 mi

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

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 Positive Pathways And Wellness Center's NPI number?

The NPI number for Positive Pathways And Wellness Center is 1679313761. It was assigned to this organization in the NPPES registry on May 28, 2024.

Where is Positive Pathways And Wellness Center located?

Positive Pathways And Wellness Center is located at 28 Jonathan St, Hagerstown, MD 21740. The listed phone number is (240) 413-1255.

What is Positive Pathways And Wellness Center's specialty?

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

Is Positive Pathways And Wellness Center enrolled in Medicare?

Yes. Positive Pathways And Wellness Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Positive Pathways And Wellness Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Positive Pathways And Wellness Center. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Positive Pathways And Wellness Center was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.