Individual provider Active NPI

Vincentia Yamson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Germantown, MD
National Provider Identifier
1629766563
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R192345 Issued in MD
Practice address
19351 Hottinger Cir
Germantown, MD 20874-1503
Phone
(240) 271-9307
NPI assigned
Apr 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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 R192345 MD Primary

Addresses

Primary practice location

19351 Hottinger Cir
Germantown, MD 20874-1503

Mailing address

19351 Hottinger Cir
Germantown, MD 20874-1503
Phone (240) 271-9307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20241111002058 DC Practitioner - Nurse Practitioner 8022542208 Reassigns benefits to 2 organizations
I20250220002893 MD Practitioner - Nurse Practitioner 8022542208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care of Maryland LLCGroup PAC ID 9234460999, 38 clinicians
Montgomery Wellness Hub LLCGroup PAC ID 3173062569, 2 clinicians

Practice addresses (Care Compare)

1010 E 33Rd St
Baltimore, MD 21218-3780
Phone 71829843753780

4409 E W Hwy
Riverdale, MD 20737-1058
Phone (718) 298-4375

951 Russell Ave
Suite D
Gaithersburg, MD 20879-3283
Phone (240) 246-7837

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R192345MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Wellness Hub LLC CurrentSince Sep 1, 2024 Accepting new patients
Supportive Care of Maryland LLC CurrentSince Feb 15, 2025 Accepting new patients

Locations

951 Russell Ave
Ste D
Gaithersburg, MD 20879
Phone (240) 246-7837

4409 East West Hwy
Riverdale Park, MD 20737
Phone (301) 699-2000

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 2

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": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1629766563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19351 HOTTINGER CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741503",
            "telephone_number": "240-271-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19351 HOTTINGER CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741503",
            "telephone_number": "240-271-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMSON",
        "first_name": "VINCENTIA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R192345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.