Active NPI
Diana Mulvey, CRNP
- Family Nurse Practitioner
- Pasadena, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R167778
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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 100
- Quality
- 74
- Improvement activities
- 40
- Cost
- 72.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R167778 | MD | MD | Family Nurse Practitioner |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Primary Care Maryland LLC | Family | Current | Accepting new patients |
| Minuteclinic LLC | Family | Current | 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.
-
- Family Nurse Practitioner
- Potomac, MD
- NPI 1487461034
DC, Family, MD
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.