Active NPI
Mihae Shin- Diep, CRNP
- Acute Care Nurse Practitioner
- Germantown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- R136001
- Practice address
- 20410 Observation Dr
Suite 100
Germantown, MD 20876-4000 - Phone
- (301) 762-0277
- Fax
- (301) 916-6184
- NPI assigned
- May 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | R136001 | MD | Primary |
Addresses
Primary practice location
20410 Observation Dr
Suite 100
Germantown, MD 20876-4000
Mailing address
20410 Observation Dr
Ste 100
Germantown, MD 20876-6419
Phone (301) 330-1000
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Georgetown University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.94 of 100
- Quality
- 66.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R136001 | MD | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Hospital Center Corp | Current | Accepting new patients | |
| Washington Hospital Center Corp | Current | Accepting new patients | |
| Washington Hospital Center Corp | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
Organizations & group practices 6
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.
-
dba Washington Hospital Center Physicians
- Neurological Surgery Physician
- Washington, DC
- NPI 1407870124
-
- General Practice Physician
- Washington, DC
- NPI 1629394424
-
- Psychiatry Physician
- Washington, DC
- NPI 1700220837
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1609042571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20410 OBSERVATION DR",
"address_2": "STE 100",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208766419",
"telephone_number": "301-330-1000",
"fax_number": "301-330-9108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20410 OBSERVATION DR",
"address_2": "SUITE 100",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208764000",
"telephone_number": "301-762-0277",
"fax_number": "301-916-6184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN- DIEP",
"first_name": "MIHAE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MD",
"license": "R136001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.