Maryn Mi-Reka

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0001254715 Issued in VA

Practice address

12200 Annapolis Rd Ste 123
Glenn Dale, MD 20769-9182

Phone

(301) 552-4300

NPI assigned

Feb 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, MD, DC3 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 3

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

30 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

100

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Villagehealth DM LLC

  • Case Management Agency
  • Denver, CO
  • NPI 1598273211

  MD

  Medicare reassignment Care Compare group
• Palliative Medicine Consultants of Greater Washington, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Rockville, MD
  • NPI 1932440856

  DC

  Medicare reassignment NPD
• CNP Operating Co LLC

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1518386739

  VA

  Medicare reassignment
• PA Post Acute Services PC

  • General Practice Physician
  • Masury, OH
  • NPI 1255057063
  NPD
• Virginia Internal Medicine, PC and Urgent Care Services, Inc.

  dba Nana Osei Amoah, MD: Virginia Internal Medicine, PC

  • Primary Care Clinic/Center
  • Annandale, VA
  • NPI 1679800619
  NPD (past)

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1215682661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 VALIANT TRCE APT SUITE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204678",
            "telephone_number": "240-252-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD STE 123",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699182",
            "telephone_number": "301-552-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7420 Marlboro Pike",
            "address_purpose": "LOCATION",
            "city": "Forestville",
            "state": "MD",
            "postal_code": "207474343",
            "country_code": "US",
            "telephone_number": "240-252-0588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MI-REKA",
        "first_name": "MARYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001254715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mensah
• Metropolitan Cardiovascular Diagnostics Inc
• Metropolitan Pediatric Ophthalmology LLC
• Mettled Minds LLC
• Robert E Metzger Jr., DPT
• Mindfullyou LLC
• Kelvin L Mitchell, LCSW-C
• Musa Mark Momoh, MD
• Joseph Olisamedua Monye, MD
• Morayo Medical LLC

• Family Nurse Practitioner in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.

Verify at the official NPI Registry.