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QUEENDALINE NWOBODO
NPI 1750901955
Nurse Practitioner - Psychiatric/Mental Health in Severn, MD

Active since April 17, 2020PECOS EnrolledAccepts Medicare Assignment
1720 SEA PINE CIR, SEVERN, MD 21144(443) 345-7967 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 9, 2025, Nov 6, 2024, Apr 17, 2020 (3 updates tracked since 2020).

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

NPI1750901955
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameQUEENDALINE NWOBODO
Location Address1720 SEA PINE CIRSevern, MD 21144-1017
Mailing Address1720 Sea Pine CirSevern, MD 21144-1017
Phone(443) 345-7967
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 17, 2020
Last NPPES UpdateJanuary 9, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1750901955 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 · R230325
Also ListedNurse PractitionerTaxonomy 363L00000X · License NP200003026 (DC)
1720 SEA PINE CIR, Severn, MD 21144
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Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9436693991
PECOS Enrollment IDI20240626001402
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.

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.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
55 services30 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
24 services23 patients

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.

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.

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.

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 20 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.