Individual provider Active NPI

Miriam Siri a Ambe, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Towson, MD
National Provider Identifier
1255901872
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R225144 Issued in MD
Practice address
6501 N Charles St
Towson, MD 21204-6819
Phone
(410) 938-5000
NPI assigned
Jun 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 R225144 MD Primary

Addresses

Primary practice location

6501 N Charles St
Towson, MD 21204-6819

Mailing address

849 Fairmount Ave FL 5
Towson, MD 21286-2624
Phone (443) 377-5273

Other practice location 1

7220 Discovery Dr
Elkridge, MD 21075-7414
Phone (240) 915-5500

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
I20230104001652 MD Practitioner - Nurse Practitioner 0244600427 Reassigns benefits to 4 organizations
I20260323001237 DC Practitioner - Nurse Practitioner 0244600427 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrahealth LLCGroup PAC ID 3678911625, 47 clinicians
Toller Enterprises, LLCGroup PAC ID 8628481926, 63 clinicians
Sheppard Pratt Physicians PAGroup PAC ID 8224937610, 70 clinicians

Practice addresses (Care Compare)

10 N Rock Glen Rd
Baltimore, MD 21229-3250
Phone (410) 646-2100

2232 E Monument St
Baltimore, MD 21205-2431
Phone (667) 207-3552

3210 Powder Mill Rd
Hyattsville, MD 20783-1029
Phone (443) 452-9612

6501 N Charles St
Baltimore, MD 21204-6819
Phone (410) 938-5000

7220 Discovery Dr
Elkridge, MD 21075-7414
Phone (410) 938-3000

Hospital & facility affiliations

  • Greater Baltimore Medical Center Hospital, Baltimore, MD, CCN 210044

Merit-based Incentive Payment System (MIPS)

Final score
66.41 of 100Reported as group
Quality
30.12
Promoting interoperability
80
Improvement activities
40
Cost
57.93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Helens Health Services Psychiatric/Mental Health Current Accepting new patients
Sheppard Pratt Physicians, P.a. CurrentSince May 22, 2022 Accepting new patients

Locations

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1255901872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 FAIRMOUNT AVE FL 5",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862624",
            "telephone_number": "443-377-5273",
            "fax_number": "443-659-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 N CHARLES ST",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046819",
            "telephone_number": "410-938-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7220 Discovery Dr",
            "address_purpose": "LOCATION",
            "city": "Elkridge",
            "state": "MD",
            "postal_code": "210757414",
            "country_code": "US",
            "telephone_number": "240-915-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMBE",
        "first_name": "MIRIAM",
        "middle_name": "SIRI A",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-27",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R225144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.