Individual provider Active NPI

Kumli Anye

  • Psychiatric/Mental Health Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1104221613
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R189744 Issued in MD
Practice address
12311 Snowden Woods Rd
Laurel, MD 20708-2492
Phone
(240) 603-1253
NPI assigned
Oct 27, 2014
Last updated
Feb 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R189744 MD
Gerontology Nurse Practitioner 363LG0600X R189744 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R189744 MD Primary

Addresses

Primary practice location

12311 Snowden Woods Rd
Laurel, MD 20708-2492

Mailing address

12311 Snowden Woods Rd
Laurel, MD 20708-2492

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150218000193 MD Practitioner - Nurse Practitioner 2961727847 Reassigns benefits to 4 organizations
I20160405002445 DC Practitioner - Nurse Practitioner 2961727847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Della Behavioral Health ServicesGroup PAC ID 3971755000, 54 clinicians

Practice addresses (Care Compare)

12311 Snowden Woods Rd
Laurel, MD 20708-2492
Phone (240) 524-1614

1406 Crain Hwy S
Suite 104
Glen Burnie, MD 21061-4086
Phone (410) 766-6624

16940 Georgia Ave
Olney, MD 20832-2424
Phone (410) 929-7225

2001 Preston Rd
Glen Burnie, MD 21060-7448
Phone (240) 524-1619

9841 Broken Land Pkwy
Suite 314
Columbia, MD 21046-3078
Phone (410) 929-7225

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Quality
75.8
Improvement activities
40
Cost
77.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R189744MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conquest Health LLC Adult Health CurrentSince May 29, 2020 Accepting new patients
M&M Behavioral Health Solutions CurrentSince Jun 1, 2021 Accepting new patients
Conquest Health LLC Current Accepting new patients
M&M Behavioral Health Solutions CurrentSince Jun 1, 2021 Accepting new patients
Della Behavioral Health Services CurrentSince Jun 30, 2021 Accepting new patients
Wilmar Haven , Inc Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9841 Broken Land Pkwy
Ste 314
Columbia, MD 21046
Phone (410) 929-7225

1406 Crain Hwy S
Ste 104
Glen Burnie, MD 21061
Phone (410) 766-6624

Organizations & group practices 8

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": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1104221613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12311 SNOWDEN WOODS RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12311 SNOWDEN WOODS RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082492",
            "telephone_number": "240-603-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYE",
        "first_name": "KUMLI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R189744",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R189744",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R189744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.