Dwayne Ennis, PMHNP-BC
NPI 1700607835 · Psychiatric/Mental Health Nurse Practitioner · La Plata, MD
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dwayne Ennis, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in La Plata, MD (NPI 1700607835).
Provider details
- NPI number
- 1700607835
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- R173805 (MD)
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
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 8040 Georgia Ave Ste 170Silver Spring, MD 20910-4959Phone: (202) 360-4787Fax: (202) 360-4787
Registry dates
- Enumerated
- 2024-10-21
- Last updated
- 2026-02-06
- Certified
- 2026-02-06
Frequently asked questions
- What is Dwayne Ennis's NPI number?
- Dwayne Ennis's National Provider Identifier (NPI) is 1700607835, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dwayne Ennis's specialty?
- Dwayne Ennis is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dwayne Ennis located?
- Dwayne Ennis's practice location on file with NPPES is 1014 Washington Ave, La Plata, MD 20646-4228.
- What is Dwayne Ennis's phone number?
- The practice phone number listed in the NPPES registry for Dwayne Ennis is (917) 560-5145.
- Does Dwayne Ennis accept Medicare?
- Dwayne Ennis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dwayne Ennis's NPI active?
- Yes — Dwayne Ennis's NPI (1700607835) is active in the NPPES registry as of the last update on 2026-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.