Individual provider Active NPI

Gisele Feumba Mbianda, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Marlboro, MD
National Provider Identifier
1053650184
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP1063133 Issued in DC
Practice address
9717 Natalie Dr
Upper Marlboro, MD 20772-4341
Phone
(202) 652-6090
NPI assigned
Feb 8, 2013
Last updated
Feb 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP1063133 DC Primary

Addresses

Primary practice location

9717 Natalie Dr
Upper Marlboro, MD 20772-4341

Mailing address

9717 Natalie Dr
Upper Marlboro, MD 20772-4341
Phone (202) 652-6090

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
I20250307002632 DC Practitioner - Nurse Practitioner 2466973375
I20250827002878 MD Practitioner - Nurse Practitioner 2466973375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3205 Corporate CT
Unit 3B
Ellicott City, MD 21042-2247

8201 Corporate Dr
Suite 630
Hyattsville, MD 20785-2258

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
District Healthcare Services, LLC Current Accepting new patients
Hea Health Care Services LLC CurrentSince Sep 8, 2025 Accepting new patients
Groba Health Services LLC Psychiatric/Mental Health Current Accepting new patients
Hea Health Care Services LLC CurrentSince Jun 22, 2025 Accepting new patients

Locations

3205 Corporate Ct
Unit 3B
Ellicott City, MD 21042
Phone (301) 768-0527

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1053650184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9717 NATALIE DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724341",
            "telephone_number": "202-652-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9717 NATALIE DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724341",
            "telephone_number": "202-652-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEUMBA MBIANDA",
        "first_name": "GISELE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1063133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.