Individual provider Active NPI

Maryann Chinasa Dennis

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1245958628
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R217251 Issued in MD
Practice address
16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Phone
(240) 386-7533
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 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 R217251 MD Primary

Addresses

Primary practice location

16701 Melford Blvd Ste 400
Bowie, MD 20715-4411

Mailing address

9811 Traver St
Bowie, MD 20721-1870
Phone (240) 386-7533

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
I20230821001356 DC Practitioner - Nurse Practitioner 9830551019 Reassigns benefits to 1 organization
I20231011002118 MD Practitioner - Nurse Practitioner 9830551019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
All Time Psychiatry LLCGroup PAC ID 3870024953, 3 clinicians

Practice addresses (Care Compare)

Dunkirk, MD 20754
Phone 30182826550

13214 Eddington Dr
Upper Marlboro, MD 20774-1943

1401 Mercantile LN
Suite 200H
Upper Marlboro, MD 20774-4310

4305 Dustin Rd
Burtonsville, MD 20866-1022

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
All Time Psychiatry LLC CurrentSince Jan 1, 2025 Accepting new patients
Care Solutions Corporation CurrentSince Nov 1, 2023 Accepting new patients
Aspire Behvioral Healthcare, LLC CurrentSince Sep 1, 2024 Accepting new patients
Aspire Multispecialty Urgent Care LLC PastSince Sep 1, 2024 Accepting new patients

Locations

11720 Beltsville Dr
Ste 500
Beltsville, MD 20705
Phone (202) 790-8903

8500 Annapolis Rd
Ste 101
New Carrollton, MD 20784
Phone (301) 821-1671

7004 Security Blvd
Ste 300
Windsor Mill, MD 21244
Phone (410) 936-3768

Organizations & group practices 4

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1245958628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 TRAVER ST",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211870",
            "telephone_number": "240-386-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16701 MELFORD BLVD STE 400",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154411",
            "telephone_number": "240-386-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "MARYANN",
        "middle_name": "CHINASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R217251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.