Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Ntaobasi Patrick Udeh, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1578990693

Mrs. Ntaobasi Patrick Udeh, AGACNP-BC is a Nurse Practitioner in Hanover, Maryland. Qualified in 2013, 13 years ago. Practices with Ivy Medical Group PLLC, a 121-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
13
Licensed in
MD
In the registry since
2013
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Practice location Address checks out

6158 Fairbourne Ct
Hanover, MD 21076-1000
Phone: (240) 856-0529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R229826 (MD)

Record details

NPI number1578990693
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedOctober 3, 2013
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Ivy Medical Group Pllc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients133
Services billed 179 a service is one billed item, such as a visit, a test or a procedure
Average patient age82

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Frederick Health Hospital Hospital · Frederick, MD · listed as Frederick Health Hospital Inc
  • Grand Islander Center Nursing home · Middletown, RI · listed as Sava Seniorcare
  • Kent Regency Center Nursing home · Warwick, RI · listed as Kent Regency Center Opco, LLC
  • Doctors Community Rehabilitation And Patient Care Nursing home · Lanham, MD
  • Franklin Woods Center Nursing home · Baltimore, MD
  • Larkin Chase Center Nursing home · Bowie, MD

Colleagues at Ivy Medical Group PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 121 clinicians in the practice; 12 are shown here.

Other providers in Hanover