Dwayne Omar Ennis, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · La Plata, MD
Dwayne Omar Ennis, PMHNP-BC is a psychiatric/mental health nurse practitioner with a practice address in La Plata, Maryland, and NPI 1700607835, issued on Oct 21, 2024. Check the license (Maryland R173805, as entered in NPPES) with the Maryland board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Dwayne Omar Ennis
- Credential
- PMHNP-BC
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License number
- R173805 MD
Self-reported in NPPES; status is on the state search - Practice location
- 1014 Washington Ave, La Plata, MD 20646
- Phone
- (917) 560-5145
- Enumerated
- Oct 21, 2024
- Record last updated
- Feb 6, 2026
- Medicare enrollment
- Enrolled (PECOS I20250731001106); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest psychiatric/mental health nurse practitioner records → All 2,373 in Maryland → Look up another NPI →
Also registered at 1014 Washington Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Julia AdamsRegistered Nurse1053182113
- Maria Zsallerdie Fernandez, BSN, RNRegistered Nurse1134990278
- Gwendolyn Osborne, RNRegistered Nurse1740051424
- Isabelle Dominique Sanchez, RNAddiction (Substance Use Disorder) Registered Nurse1780455105
- Takelia SimmonsAdult Psychiatric/Mental Health Registered Nurse1396508792
- Nyia Willis, BSW, ADTAddiction (Substance Use Disorder) Counselor1649099300
Verify Dwayne Omar Ennis in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Maryland board licenses this profession
Search for license R173805Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Axis Healthcare GroupLeonardtown, MD
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Dwayne Omar Ennis among 2,373 psychiatric/mental health nurse practitioner records in Maryland
Dwayne Omar Ennis, PMHNP-BC is one of 2,373 psychiatric/mental health nurse practitioner records with a practice address in Maryland. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 77% of them.
- NPI issued2024 · 77% of these records are older, 15% newer
- In a Medicare fileYes · 71% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated2014 · median 2021 among the 1,409 with a school on file
- Record last updated2026 · 19% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0808X and a Maryland practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
7 psychiatric/mental health nurse practitioner records list a practice address in La Plata
They are 7 of the 462 NPPES records with a practice address in La Plata, and 2,373 psychiatric/mental health nurse practitioner records in Maryland.
All 2,373 in Maryland → Every provider in La Plata → Psychiatric/Mental Health Nurse Practitioner nationwide →
The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes
- Gbemisola AdebayoLa Plata, MD 206461588244255
- Lauren BarefootLa Plata, MD 206461669313227
- Laura Behm, DNP, FNP-C, PMHNP-BCLa Plata, MD 206461275903916
- Tolulope OguntomiLa Plata, MD 206461881221265
- Rahmot RajiLa Plata, MD 206461609624469
- Saba Rastegar, PMHNPLa Plata, MD 206461578322178
- Elizabeth Kaspar, PMHNP-BCLeonardtown, MD 206501679450456
- Julia OleruLeonardtown, MD 206501861184913
Common questions
What is Dwayne Omar Ennis, PMHNP-BC's NPI number?
Dwayne Omar Ennis, PMHNP-BC's National Provider Identifier (NPI) is 1700607835, issued on Oct 21, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Dwayne Omar Ennis, PMHNP-BC located?
The NPPES record lists a practice address at 1014 Washington Ave, La Plata, MD, 20646. Phone: (917) 560-5145. Providers update this record themselves, so call before visiting.
How can I verify Dwayne Omar Ennis, PMHNP-BC's license?
NPPES lists Maryland license number R173805, as entered by the provider. Search the Maryland board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.