ADWOA POWELL (DNP, APN, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083437792

ADWOA POWELL (DNP, APN, PMHNP) is a healthcare provider. based in Newark, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, APN, PMHNP. They hold a License No. 26NJ15147700 (NJ). The NPI Number for ADWOA POWELL (DNP, APN, PMHNP) is 1083437792

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ADWOA POWELL (DNP, APN, PMHNP)
NPI
1083437792
Phone
(201) 822-1161
Address
550 BROAD ST
Enumeration Date
2 November 2024
Last Update Date
27 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2018221161
Graduation Year
2024 (2 years ago)
PAC ID
7012444656
Group Practice PAC ID
7719342005
Professional Enrollment ID
I20241220002423
Address ID
NJ071024537NE550XXSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

7,508 NURSE PRACTITIONER in NJ

Provider Addresses for ADWOA POWELL (DNP, APN, PMHNP)

  • 550 BROAD ST

    NEWARK, NJ 071024531

    Phone: (201) 822-1161

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241220002423INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719342005View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerNJ
Clinical Social WorkerNJ
Nurse PractitionerFL
Nurse PractitionerPA
Clinical Social WorkerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNY
Nurse PractitionerNJ

Reviews

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Frequently asked questions

Is there an official ID for ADWOA POWELL (DNP, APN, PMHNP) in U.S. healthcare records?
The official identifier for ADWOA POWELL (DNP, APN, PMHNP) is NPI 1083437792.
Is there an active status for ADWOA POWELL (DNP, APN, PMHNP)?
For scheduling context, ADWOA POWELL (DNP, APN, PMHNP) is shown as active in the registry.
What area of care is associated with ADWOA POWELL (DNP, APN, PMHNP)?
ADWOA POWELL (DNP, APN, PMHNP)'s record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with ADWOA POWELL (DNP, APN, PMHNP)?
Directory geography for ADWOA POWELL (DNP, APN, PMHNP) centers on Newark, New Jersey.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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