Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Stacey Nicole Ogburn, CRNP-PMH

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1093683567

MS. Stacey Nicole Ogburn, CRNP-PMH is a Nurse Practitioner in Berlin, Maryland. Qualified in 2025, 1 year ago. Licensed in Maryland.

Years since qualifying
1
Licensed in
MD
In the registry since
2025
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Practice location Address checks out

9958 N Main St
Berlin, MD 21811-1076
Phone: (410) 973-2820
Fax: (410) 973-2843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R185128 (MD)

Record details

NPI number1093683567
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP-PMH
Sole proprietorNo
NPI enumeratedOctober 27, 2025
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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