Dwayne Omar Ennis, PMHNP-BC in La Plata, MD - Medicare Nurse Practitioner

Dwayne Omar Ennis, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in La Plata, Maryland. He graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 1014 Washington Ave, La Plata, Maryland. You can reach out to his office (for appointments etc.) via phone at (917) 560-5145.

Dwayne Omar Ennis is licensed to practice in Maryland (license number R173805) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1700607835.

Contact Information

	Dwayne Omar Ennis, PMHNP-BC
	1014 Washington Ave, La Plata, MD 20646-4228
	(917) 560-5145
	Not Available

Map and Direction

Provider's Profile

Full Name	Dwayne Omar Ennis
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	1014 Washington Ave, La Plata, Maryland
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dwayne Omar Ennis graduated from nursing school in 2014

NPI Data:

NPI Number: 1700607835
Provider Enumeration Date: 10/21/2024
Last Update Date: 10/12/2025

Medicare PECOS Information:

PECOS PAC ID: 4880102011
Enrollment ID: I20250731001246

Medical Identifiers

Medical identifiers for Dwayne Omar Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700607835	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R173805 (Maryland)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dwayne Omar Ennis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dwayne Omar Ennis, PMHNP-BC 1014 Washington Ave, La Plata, MD 20646-4228 Ph: () -	Dwayne Omar Ennis, PMHNP-BC 1014 Washington Ave, La Plata, MD 20646-4228 Ph: (917) 560-5145

Reviews and Comments

Nurse Practitioner Nurses in La Plata, MD

Mrs. Natasha Chinakesha Decaires-chester, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Garrett Ave, La Plata, MD 20646 Phone: 301-609-4287
Adwoa Amponsah-poku, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 N La Plata Ct Ste 101, La Plata, MD 20646 Phone: 301-609-5044
Ashley Iannone, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Centennial St Ste C, La Plata, MD 20646 Phone: 301-934-9111
Gretchen Ann Machesney, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Garrett Ave, La Plata, MD 20646 Phone: 301-609-5439 Fax: 301-609-5344
Elizabeth Anne Fifelski, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16 N La Plata Ct, La Plata, MD 20646 Phone: 732-850-2252
Jessica Lorraine Milton, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115a La Grange Ave # A, La Plata, MD 20646 Phone: 301-392-1935
Dr. Paul Michael Patterson, D.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115a La Grange Ave, Suite 101, La Plata, MD 20646 Phone: 301-392-1935 Fax: 301-392-1936

Dwayne Omar Ennis, PMHNP-BC - Medicare Nurse Practitioner in La Plata, MD