Individual provider Active NPI

Diana Mulvey, CRNP

  • Family Nurse Practitioner
  • Pasadena, MD
National Provider Identifier
1104379924
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R167778 Issued in MD
Practice address
28 Magothy Beach Rd
Pasadena, MD 21122-4428
Phone
(410) 353-6306
NPI assigned
Jul 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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 R167778 MD Primary

Addresses

Primary practice location

28 Magothy Beach Rd
Pasadena, MD 21122-4428

Mailing address

28 Magothy Beach Rd
Pasadena, MD 21122-4428
Phone (866) 389-2727

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
I20170112000269 DC Practitioner - Nurse Practitioner 1557642238 Reassigns benefits to 2 organizations
I20170112000553 MD Practitioner - Nurse Practitioner 1557642238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

2601 Riva Rd
Annapolis, MD 21401-7304
Phone (866) 389-2727

28 Magothy Beach Rd
Pasadena, MD 21122-4428
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
77.37 of 100Reported as group
Quality
74
Improvement activities
40
Cost
72.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R167778MDMDFamily Nurse Practitioner

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care Maryland LLC Family CurrentSince Jul 12, 2025 Accepting new patients
Minuteclinic LLC Family CurrentSince Nov 5, 2016 Accepting new patients

Locations

1911 Towne Centre Blvd
Annapolis, MD 21401
Phone (443) 837-3540

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

3110 Olney Sandy Spring Rd
Olney, MD 20832
Phone (301) 774-6155

28 Magothy Beach Rd
Pasadena, MD 21122
Phone (410) 353-6306

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

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

Networks

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

Organizations & group practices 2

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": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1104379924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MAGOTHY BEACH RD",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224428",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MAGOTHY BEACH RD",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224428",
            "telephone_number": "410-353-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULVEY",
        "first_name": "DIANA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R167778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.