Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kingsley C. Odimegwu, PHMNP

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1114763380

Dr. Kingsley C. Odimegwu, PHMNP is a Nurse Practitioner in Hyattsville, Maryland. Qualified in 2024, 2 years ago. Practices with Columbia Associates in Psychiatry PC, a 123-clinician group, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia and Maryland.

Years since qualifying
2
Licensed in
DC, MD
In the registry since
2024
Specialties on file
3

Practice location Address checks out

6475 New Hampshire Ave
Hyattsville, MD 20783-3269
Phone: (301) 270-0058
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R251564 (MD)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN1041013 (DC)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence NP1041013 (DC)

Record details

NPI number1114763380
Entity typeIndividual (Type 1)
GenderMale
Credentials PHMNP
Sole proprietorNo
NPI enumeratedJuly 6, 2024
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Columbia Associates In Psychiatry Pc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Hyattsville