Martins Aziengbe
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Washington, DC
NPI 1659618908 · NPPES record last updated Sep 20, 2023
Key facts
- NPI
- 1659618908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- NP1046573 (DC)
- Practice address
- 1300 I St NW Ste 400E
Washington, DC 20005-3318 - Phone
- (301) 792-9424
- NPI assigned
- Jan 7, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arising Behavioral Health and Services LLC
Practice addresses (Care Compare)
1300 I St NW
Suite 400E
Washington, DC 20005-3318
Phone (301) 792-9424
Merit-based Incentive Payment System (MIPS)
- Final score
- 30 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231005000364 | DC | Practitioner - Nurse Practitioner | 9537514989 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rejoice MJ Health Services Inc | Current | Accepting new patients | |
| Elevate Health Solutions, LLC | Current |
Accepting new patients | |
| Arising Behavioral Health and Services LLC | Current |
Accepting new patients | |
| Elevate Health Solutions, LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
1300 I St NW
Ste 400E
Washington, DC 20005
Phone (202) 902-7324
2425 25th St SE
Washington, DC 20020
Phone (202) 678-0013
650 Pennsylvania Ave SE
Ste 330
Washington, DC 20003
Phone (202) 610-9570
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP1046573 | DC | Yes |
Addresses
Primary practice location
1300 I St NW Ste 400E
Washington, DC 20005-3318
Mailing address
7600 Georgia Ave NW
Suite 323
Washington, DC 20012-1616
Phone (202) 723-3060
Other practice location 1
7600 Georgia Ave NW
Suite 323
Washington, DC 20012-1616
Phone (202) 723-3060 ext. 213
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.