Individual provider Active NPI

Mina Ashell Cade, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1093463382
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R181282 Issued in MD
Practice address
4601 1/2 Bowleys Lane
Suite 1
Baltimore, MD 21206
Phone
(410) 615-9985
NPI assigned
Mar 15, 2022
Last updated
Mar 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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 R181282 MD Primary

Addresses

Primary practice location

4601 1/2 Bowleys Lane
Suite 1
Baltimore, MD 21206

Mailing address

4601 1/2 Bowleys Lane
Suite 1
Baltimore, MD 21206
Phone (410) 615-9985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220910000117 MD Practitioner - Nurse Practitioner 1658756705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5335 Reisterstown Rd
Baltimore, MD 21215-4401
Phone (667) 201-3790

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R181282MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morelife Solutions Mental Health LLC Psychiatric/Mental Health CurrentSince Jul 1, 2022 Accepting new patients

Locations

5335 Reisterstown Rd
Baltimore, MD 21215
Phone (667) 201-3790

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27106/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mina.cade.1@27106.direct.athenahealth.com

Organizations & group practices 1

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": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1093463382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 1/2 BOWLEYS LANE",
            "address_2": "SUITE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21206",
            "telephone_number": "410-615-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 1/2 BOWLEYS LANE",
            "address_2": "SUITE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21206",
            "telephone_number": "410-615-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADE",
        "first_name": "MINA",
        "middle_name": "ASHELL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R181282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.