Individual provider Active NPI

Briana Tena Mahari, FNP

  • Nurse Practitioner
  • Waldorf, MD
National Provider Identifier
1659081081
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R221129 Issued in MD
Practice address
11637 Terrace Dr Ste 101
Waldorf, MD 20602-3707
Phone
(240) 629-9352
Fax
(240) 629-3953
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R221129 MD Primary

Addresses

Primary practice location

11637 Terrace Dr Ste 101
Waldorf, MD 20602-3707

Mailing address

5205 Chairmans CT Ste 201a
Frederick, MD 21703-2918
Phone (240) 629-3939

Other practice location 1

5205 Chairmans Ct Ste 201A
Frederick, MD 21703-2918
Phone (240) 629-3939

Other names 1

  • Briana Tena Scipio Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, OH2 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
I20230726000130 MD Practitioner - Nurse Practitioner 0941661813
I20250416001471 OH Practitioner - Nurse Practitioner 0941661813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.92 of 100Reported as group
Quality
87.63
Promoting interoperability
100
Improvement activities
40
Cost
81.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R221129MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Care Provider Group PA CurrentSince May 1, 2025 Accepting new patients

Locations

20046 Walker Rd
Ste 7
Shaker Heights, OH 44122
Phone (503) 208-5061

111 SW Naito Pkwy
Ste 200
Portland, OR 97204
Phone (503) 208-5061

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1659081081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 CHAIRMANS CT STE 201A",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032918",
            "telephone_number": "240-629-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11637 TERRACE DR STE 101",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023707",
            "telephone_number": "240-629-9352",
            "fax_number": "240-629-3953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5205 Chairmans Ct Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217032918",
            "country_code": "US",
            "telephone_number": "240-629-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHARI",
        "first_name": "BRIANA",
        "middle_name": "TENA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R221129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANA",
            "last_name": "SCIPIO",
            "middle_name": "TENA",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.