Kingsley Odimegwu, PHMNP
NPI 1114763380 · Psychiatric/Mental Health Nurse Practitioner · Hyattsville, MD
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kingsley Odimegwu, PHMNP is a Psychiatric/Mental Health Nurse Practitioner provider in Hyattsville, MD (NPI 1114763380).
Provider details
- NPI number
- 1114763380
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHMNP
- Sex
- Male
- Sole proprietor
- No
- License
- RN1041013 (DC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-07-06
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Frequently asked questions
- What is Kingsley Odimegwu's NPI number?
- Kingsley Odimegwu's National Provider Identifier (NPI) is 1114763380, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kingsley Odimegwu's specialty?
- Kingsley Odimegwu is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kingsley Odimegwu located?
- Kingsley Odimegwu's practice location on file with NPPES is 6475 New Hampshire Ave, Hyattsville, MD 20783-3269.
- What is Kingsley Odimegwu's phone number?
- The practice phone number listed in the NPPES registry for Kingsley Odimegwu is (301) 270-0058.
- Does Kingsley Odimegwu accept Medicare?
- Kingsley Odimegwu is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kingsley Odimegwu's NPI active?
- Yes — Kingsley Odimegwu's NPI (1114763380) is active in the NPPES registry as of the last update on 2025-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.