Providence Health Group LLC
NPI 1205773264 · Psychiatric/Mental Health Nurse Practitioner · Bowie, MD
Providence Health Group LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Bowie, MD (NPI 1205773264).
Provider details
- NPI number
- 1205773264
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ijeoma Mgboji, Owner(908) 906-7518
Specialties & taxonomies
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
Under 1 yr in 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
- 2026-04-29
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Frequently asked questions
- What is Providence Health Group LLC's NPI number?
- Providence Health Group LLC's National Provider Identifier (NPI) is 1205773264, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health Group LLC?
- Providence Health Group LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Providence Health Group LLC located?
- Providence Health Group LLC's practice location on file with NPPES is 955 Hall Station Dr, Bowie, MD 20721-6008.
- What is Providence Health Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Health Group LLC is (908) 906-7518.
- Who is the authorized official for Providence Health Group LLC?
- The authorized official listed on Providence Health Group LLC's NPPES record is Ijeoma Mgboji, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Health Group LLC's NPI active?
- Yes — Providence Health Group LLC's NPI (1205773264) is active in the NPPES registry as of the last update on 2026-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.