Eugenia Serwah Kissi, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Bowie, MD
NPI 1316645922 · NPPES record last updated Feb 22, 2023
Key facts
- NPI
- 1316645922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- R229384 (MD)
- Practice address
- 4201 Northview Dr Ste 410
Bowie, MD 20716-2668 - Phone
- (301) 256-1803
- NPI assigned
- Feb 22, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- USA Sleep Diagnostic Mobile Services LLC
Curana Health of Maryland LLC
Practice addresses (Care Compare)
1215 Annapolis Rd
Suite 202
Odenton, MD 21113-1349
Phone (888) 792-4445
1840 Reisterstown Rd
Pikesville, MD 21208-1305
Phone (337) 991-9276
285 N Washington St
Rockville, MD 20850-1763
Phone (337) 991-9276
Hospital & facility affiliations
- Bayada Home Health Care, Inc
- Bayada Home Health Care, Inc.
- Hospice of the Chesapeake, Inc.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241121002188 | MD | Practitioner - Nurse Practitioner | 6103351564 | Reassigns benefits to 3 organizations |
| I20241121002548 | DC | Practitioner - Nurse Practitioner | 6103351564 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Sleep Diagnostic Mobile Service | Current |
Accepting new patients | |
| CH Specialty Services MD LLC | Current |
Accepting new patients | |
| Curana Health of Maryland LLC | Current |
Accepting new patients | |
| USA Sleep Diagnostic Mobile Services, LLC | Current |
Accepting new patients |
Locations
5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330
4907 Rugby Ave
Bethesda, MD 20814
Phone (240) 558-5605
6030 Daybreak Cir
Ste A150
Clarksville, MD 21029
Phone (240) 204-1303
1215 Annapolis Rd
Ste 202
Odenton, MD 21113
Phone (410) 519-1209
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R229384 | MD | Yes |
Addresses
Primary practice location
4201 Northview Dr Ste 410
Bowie, MD 20716-2668
Mailing address
1820 Palmetto Dr
Bowie, MD 20721-3720
Phone (301) 256-1803
Other providers in Bowie, MD
- Lysa N Kirby
- Gretchen Kircher
- Matthew Masaji Kirkbride
- Alexis Nicole Kirkland
- Joseph Ernest Kisanga
- Donna Duryea Klem
- Braden William Rochon Knott
- Madeleine Koblin
- Modest Awah Kodang
- Lise Myriam Koffi
All providers in Bowie, MD · Adult Health Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.