Individual provider Active NPI

Abiola Mumuni-Abass, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1366081903
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R207134 Issued in MD
Practice address
2600 Ballston CT
Bowie, MD 20721-3281
Phone
(301) 256-1546
NPI assigned
Dec 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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 R207134 MD Primary

Addresses

Primary practice location

2600 Ballston CT
Bowie, MD 20721-3281

Mailing address

2600 Ballston CT
Bowie, MD 20721-3281
Phone (301) 256-1546

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Bowie Health Information Exchange (HIE)

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
I20220720001747 MD Practitioner - Nurse Practitioner 1456732502 Reassigns benefits to 1 organization
I20250203001200 DC Practitioner - Nurse Practitioner 1456732502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

516 S Conkling St
Baltimore, MD 21224-4201
Phone (410) 864-8874

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Top Choice Healthcare CurrentSince Dec 29, 2024 Accepting new patients
Top Choice Healthcare LLC CurrentSince Oct 28, 2025 Accepting new patients
Dynamic Health Care LLC CurrentSince Apr 30, 2022 Accepting new patients
Dynamic Health Care LLC PastSince Apr 30, 2022 Accepting new patients

Locations

516 S Conkling St
Baltimore, MD 21224
Phone (410) 327-6988

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": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1366081903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 BALLSTON CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213281",
            "telephone_number": "301-256-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 BALLSTON CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213281",
            "telephone_number": "301-256-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMUNI-ABASS",
        "first_name": "ABIOLA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R207134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bowie",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2600 Ballston Ct",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207213281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.