Individual provider Active NPI

Irene Mah Mebune

  • Family Nurse Practitioner
  • Urbana, MD
National Provider Identifier
1003684192
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R194779 Issued in MD
Practice address
3350 Worthington Blvd
Urbana, MD 21704-7025
Phone
(301) 675-4792
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R194779 MD Primary

Addresses

Primary practice location

3350 Worthington Blvd
Urbana, MD 21704-7025

Mailing address

3350 Worthington Blvd
Urbana, MD 21704-7025
Phone (301) 675-4792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241230002624 DC Practitioner - Nurse Practitioner 3577090760 Reassigns benefits to 4 organizations
I20250625004136 MD Practitioner - Nurse Practitioner 3577090760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

1 CVS Dr
Woonsocket, RI 02895-6146

3350 Worthington Blvd
Frederick, MD 21704-7025
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R194779MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Jun 17, 2025 Accepting new patients
Family Care Associates CurrentSince Nov 1, 2024 Accepting new patients
Compassionate Family and Wellness Practice Family CurrentSince Oct 13, 2025 Accepting new patients
Minuteclinic Primary Care Maryland LLC Family CurrentSince Oct 4, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090

7809 Wisconsin Ave
Bethesda, MD 20814
Phone (301) 986-9144

10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191

702 Russell Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 330-0006

4300 Forbes Blvd
Ste 215
Lanham, MD 20706
Phone (301) 675-4792

7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717

1001 York Rd
Towson, MD 21204
Phone (410) 823-3900

3350 Worthington Blvd
Urbana, MD 21704
Phone (240) 699-0018

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJIAAA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1003684192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 WORTHINGTON BLVD",
            "city": "URBANA",
            "state": "MD",
            "postal_code": "217047025",
            "telephone_number": "301-675-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 WORTHINGTON BLVD",
            "city": "URBANA",
            "state": "MD",
            "postal_code": "217047025",
            "telephone_number": "301-675-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEBUNE",
        "first_name": "IRENE",
        "middle_name": "MAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R194779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, MD

Sources for this page

Verify at the official NPI Registry.