QUEENDALINE NWOBODO
NPI 1750901955
Nurse Practitioner - Psychiatric/Mental Health in Severn, MD
About Queendaline Nwobodo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
QUEENDALINE NWOBODO (NPI 1750901955) is an individual psychiatric/mental health provider in Severn, Maryland, licensed in Maryland (R230325) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Queendaline Nwobodo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
7Medicare enrollment records show Queendaline Nwobodo reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hanover, MD 21076
- Reassigned Medicare billing, Maryland enrollment
- 3 clinicians in this Medicare group
Glen Burnie, MD 21061
- Reassigned Medicare billing, Maryland enrollment
- 5 clinicians in this Medicare group
Baltimore, MD 21206
- Reassigned Medicare billing, Maryland enrollment
- 35 clinicians in this Medicare group
Washington, DC 20003
- Reassigned Medicare billing, District of Columbia enrollment
- 6 clinicians in this Medicare group
Washington, DC 20003
- Reassigned Medicare billing, District of Columbia enrollment
- 23 clinicians in this Medicare group
Washington, DC 20003
- Reassigned Medicare billing, District of Columbia enrollment
- 18 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, District of Columbia enrollment
- 1,424 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21144 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Queendaline Nwobodo's NPI number?
The NPI number for Queendaline Nwobodo is 1750901955. It was assigned to this individual provider in the NPPES registry on April 17, 2020.
Where is Queendaline Nwobodo located?
Queendaline Nwobodo practices at 1720 Sea Pine Cir, Severn, MD 21144. The listed phone number is (443) 345-7967.
What is Queendaline Nwobodo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Queendaline Nwobodo enrolled in Medicare?
Yes. Queendaline Nwobodo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Queendaline Nwobodo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Queendaline Nwobodo reassigns Medicare benefits to 7 organizations: Axis Behavioral Health LLC (Hanover, MD), Hightower Behavioral Health (Glen Burnie, MD), Resonance Behavioral Health Services (Baltimore, MD), Human Charity Solutions (Washington, DC), Arising Behavioral Health And Services LLC (Washington, DC) and 2 more organizations, listed in the Medicare section above. 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 Queendaline Nwobodo'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 Queendaline Nwobodo was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Queendaline Nwobodo · NPI 1750901955
Psychiatric/Mental Health physician in Severn, Maryland. Individual provider, active in the CMS NPPES registry since April 17, 2020.
## Identity
- **NPI:** 1750901955 (Entity type: Individual)
- **Enumerated:** April 17, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R230325 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1720 SEA PINE CIR, Severn, MD 21144-1017
- **Phone:** (443) 345-7967
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Axis Behavioral Health LLC (NPI 1063226280, Hanover, MD); Hightower Behavioral Health (NPI 1972140069, Glen Burnie, MD); Resonance Behavioral Health Services (NPI 1821765926, Baltimore, MD); Human Charity Solutions (NPI 1255189213, Washington, DC); Arising Behavioral Health And Services LLC (NPI 1225735848, Washington, DC); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** January 9, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1750901955) · Data from the CMS NPPES public registry.