Philomena Nufunkuen Keli, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

R193082 Issued in MD

Practice address

2415 Musgrove Rd Ste 308
Silver Spring, MD 20904-5223

Phone

(301) 281-9083

Fax

(301) 281-2268

NPI assigned

Apr 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M Medical Group, Inc.Group PAC ID 7719278597, 104 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

22.86 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

76.19

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Family Health Practice LLC

  • Primary Care Nurse Practitioner
  • Silver Spring, MD
  • NPI 1093429086

  DC

  Medicare reassignment NPD Authorized official
• M Medical Group, Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Clinton, MD
  • NPI 1780056168

  DC

  Medicare reassignment Care Compare group NPD
• M Medical Group, Inc.

  • Internal Medicine Physician
  • Rising Sun, MD
  • NPI 1164238333
  Medicare reassignment
• Kurup Wound Care, Inc.

  • Family Medicine Physician
  • Hyattsville, MD
  • NPI 1861652646
  NPD
• M Medical Group, Inc.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1447076203
  NPD

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1013536960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE RD STE 308",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045223",
            "telephone_number": "301-281-9083",
            "fax_number": "301-281-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE RD STE 308",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045223",
            "telephone_number": "301-281-9083",
            "fax_number": "301-281-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELI",
        "first_name": "PHILOMENA",
        "middle_name": "NUFUNKUEN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "R193082",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R193082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Burtonsville",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15012 Saddle Creek Dr",
            "city": "Burtonsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208662211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ruth Anne Keister
• Khadijah Keita
• Mariama Keita, CRNP
• Dana Dean Keith, D.D.S.
• Alicia Kelch
• Geiza Izabel Keller-Souza, SLP A
• Olivia Paris Keller, PA
• Steven Howard Keller, DDS
• Patrick Kelley
• Bruce Kellner, O.D.

• Primary Care Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.