Individual provider Active NPI

Victoria Incoom, CRNP

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1437811445
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R210362 Issued in MD
Practice address
6334 Cedar LN Ste 103
Columbia, MD 21044-4172
Phone
(410) 531-2355
Fax
(410) 531-7041
NPI assigned
Oct 6, 2021
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R210362 MD Primary

Addresses

Primary practice location

6334 Cedar LN Ste 103
Columbia, MD 21044-4172

Mailing address

6334 Cedar LN Ste 103
Columbia, MD 21044-4172
Phone (410) 531-2355

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 4438314622 Direct

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
I20260306000716 MD Practitioner - Nurse Practitioner 8123464492 Reassigns benefits to 2 organizations
I20260415001607 DC Practitioner - Nurse Practitioner 8123464492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gilchrist Hospice Care IncGroup PAC ID 2769580422, 52 clinicians
Personal Physician Care, LLCGroup PAC ID 3274683289, 13 clinicians

Practice addresses (Care Compare)

1051 Brightseat Rd
Landover, MD 20785-3738
Phone (240) 487-4400

6334 Cedar LN
Suite 103
Columbia, MD 21044-4172
Phone (410) 531-2355

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (443) 578-8043

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R210362MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Assisted Living LLC Assisted Living Facility CurrentSince Nov 12, 2023 Accepting new patients
Personal Physician Care, LLC Multi-Specialty CurrentSince Jan 6, 2026 Accepting new patients

Locations

6334 Cedar Ln
Ste 103
Columbia, MD 21044
Phone (410) 531-2355

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 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": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1437811445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6334 CEDAR LN STE 103",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444172",
            "telephone_number": "410-531-2355",
            "fax_number": "410-531-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6334 CEDAR LN STE 103",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444172",
            "telephone_number": "410-531-2355",
            "fax_number": "410-531-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCOOM",
        "first_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R210362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "4438314622",
            "affiliation": "N",
            "endpointDescription": "9332 old scaggsville rd",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9332 Old Scaggsville Rd",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207231732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.