Individual provider Active NPI

Eugenia Serwah Kissi, NP

  • Adult Health Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1316645922
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R229384 Issued in MD
Practice address
4201 Northview Dr Ste 410
Bowie, MD 20716-2668
Phone
(301) 256-1803
NPI assigned
Feb 22, 2023
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R229384 MD Primary

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

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
I20241121002188 MD Practitioner - Nurse Practitioner 6103351564 Reassigns benefits to 3 organizations
I20241121002548 DC Practitioner - Nurse Practitioner 6103351564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Curana Health of Maryland LLCGroup PAC ID 5395280549, 21 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R229384MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
USA Sleep Diagnostic Mobile Services, LLC CurrentSince Jan 1, 2026 Accepting new patients
Curana Health of Maryland LLC CurrentSince Nov 19, 2024 Accepting new patients
CH Specialty Services MD LLC CurrentSince Dec 6, 2024 Accepting new patients
USA Sleep Diagnostic Mobile Service CurrentSince Jan 1, 2026 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1316645922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PALMETTO DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213720",
            "telephone_number": "301-256-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 NORTHVIEW DR STE 410",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162668",
            "telephone_number": "301-256-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSI",
        "first_name": "EUGENIA",
        "middle_name": "SERWAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R229384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.