Blanche Mokoso, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R229094 Issued in MD

Practice address

6192 Oxon Hill Rd Ste 507
Oxon Hill, MD 20745-3142

Phone

(301) 839-0800

Fax

(301) 839-8088

NPI assigned

Aug 21, 2017

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 DC

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 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blanche.mokoso.1@20662.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/20662/brand/1/csg/1/fhir/r4

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.

• Dervan Healthcare Services LLC

  • Primary Care Clinic/Center
  • Washington, DC
  • NPI 1275182560
  Medicare reassignment NPD Authorized official
• BHG Lxxxviii, LLC

  • Multi-Specialty Clinic/Center
  • Washington, DC
  • NPI 1609586684
  Medicare reassignment
• Bendel Medical Associates LLC

  • Internal Medicine Physician
  • Oxon Hill, MD
  • NPI 1912199514
  NPD (past)
• BHG Xlvi, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Washington, DC
  • NPI 1932633518
  NPD (past)

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503273600000",
    "number": "1356867360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11303 SPRINGPARK COURT",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "20769",
            "telephone_number": "301-728-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6192 OXON HILL RD STE 507",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453142",
            "telephone_number": "301-839-0800",
            "fax_number": "301-839-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKOSO",
        "first_name": "BLANCHE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R229094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miracle Houses, Inc.
• Roy L Mitchell, DDS
• Mahmood Mohamadi, M.D.
• Sachin Mohan
• Fatima A Mohiuddin, M.D.
• Jorge A Mondino, M.D.
• Julius Diaga Monkam
• Quentin E Monroe, DDS
• Moore OBGYN LLC
• Jermaun Moore, LICSW, LCSW-C, LCSW

• Family Nurse Practitioner in Oxon Hill, MD
• Providers in Oxon Hill, 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 Aug 21, 2017; 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.