Mildred E Kangkolo, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R192423 Issued in MD

Practice address

785 Elkridge Landing Rd Ste 300
Linthicum Heights, MD 21090-2958

Phone

(443) 548-5700

NPI assigned

Mar 14, 2021

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, 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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ennoble HC DMV LLC 112 clinicians

Healthdrive Medical Services PC 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
• Gilchrist Hospice Care, Inc Hospice, Hunt Valley, MD, CCN 211526
• Lorien Nursing & Rehab Ctr - Elkridge Nursing home, Elkridge, MD, CCN 215357

Merit-based Incentive Payment System (MIPS)

Final score

93.12 of 100Reported as group

Quality

78.81

Promoting interoperability

100

Improvement activities

40

Cost

65.78

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Healthdrive Medical Services, PC

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1588469548

  DC, Family, MD

  Medicare reassignment Care Compare group NPD
• Five Star Physician Services, LLC

  • Internal Medicine Physician
  • Linthicum Heights, MD
  • NPI 1083654479

  DC, MD

  Medicare reassignment NPD
• Healthdrive Medical Services Southeast LLC

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1437930146

  DC, Family, MD

  Medicare reassignment NPD
• Rahel G. Yirga MD PC

  • Internal Medicine Physician
  • Sterling, VA
  • NPI 1558508184

  DC

  Medicare reassignment NPD
• HDC Care Solutions, LLC

  • Nurse Practitioner
  • Framingham, MA
  • NPI 1033861349

  DC, MD

  Medicare reassignment
• Ennoble HC DMV LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Fulton, MD
  • NPI 1104492115
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Forest Hill, MD
  • NPI 1528352747
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Columbia, MD
  • NPI 1558680447
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Glen Burnie, MD
  • NPI 1578501789
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Towson, MD
  • NPI 1902843451
  Care Compare affiliation
• Gilchrist Hospice Care Inc.

  • Inpatient Hospice
  • Towson, MD
  • NPI 1780773408

  Hospice

  Care Compare affiliation
• Lorien Life Center - Howard II, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Elkridge, MD
  • NPI 1740563931

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1639754336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 ELKRIDGE LANDING RD STE 300",
            "city": "LINTHICUM HEIGHTS",
            "state": "MD",
            "postal_code": "210902958",
            "telephone_number": "410-548-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 ELKRIDGE LANDING RD STE 300",
            "city": "LINTHICUM HEIGHTS",
            "state": "MD",
            "postal_code": "210902958",
            "telephone_number": "443-548-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANGKOLO",
        "first_name": "MILDRED",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-14",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R192423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hygea Healthcare, Inc.
• Imperial Mentoring
• Imperial Mentoring
• Ion Occupational Medical Consultants
• Carolyn Jendrek, M.D.
• Mary Jean Keller, RN, NP
• Darius Kelley
• Priyana Kumar Khan, PHARMD
• Bayan Kozalbash
• Tasneem Lakhani, MD

• All providers in Linthicum Heights, MD
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.