Individual provider Active NPI

Star Tangyie-Che Niba, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1679835698
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R215105 Issued in MD
Practice address
10490 Little Patuxent Pkwy Ste 600
Columbia, MD 21044-4941
Phone
(240) 676-7213
NPI assigned
Jun 14, 2012
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 R215105 MD Primary

Addresses

Primary practice location

10490 Little Patuxent Pkwy Ste 600
Columbia, MD 21044-4941

Mailing address

1247 Apollo Dr
Frederick, MD 21702-1247
Phone (410) 699-9779

Other practice location 1

9030 Route 108 Ste A
Columbia, MD 21045-1990
Phone (410) 740-1901

Other identifiers 1

IdentifierTypeStateIssuer
987384800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20220919000137 MD Practitioner - Nurse Practitioner 2264817840 Reassigns benefits to 5 organizations
I20240819002874 DC Practitioner - Nurse Practitioner 2264817840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arizona College of Medicine - Phoenix, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mosaic Community Services, IncGroup PAC ID 0941289417, 63 clinicians
Way Station IncGroup PAC ID 8628064151, 25 clinicians

Practice addresses (Care Compare)

1925 Greenspring Dr
Timonium, MD 21093-4128
Phone (410) 938-5434

9030 State Route 108
Suite a
Columbia, MD 21045-1990
Phone (410) 740-1901

Merit-based Incentive Payment System (MIPS)

Final score
73.74 of 100Reported as group
Quality
50.53
Promoting interoperability
55
Improvement activities
40
Cost
82.77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Community Services, Inc. CurrentSince May 29, 2024 Accepting new patients
Way Station, Inc. Current Accepting new patients
Mosaic Community Services, Inc. Current Accepting new patients
Sheppard Pratt Physicians, P.a. CurrentSince Mar 1, 2025 Accepting new patients
Mosaic Community Services, Inc CurrentSince May 29, 2024 Accepting new patients
Imperial Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Aug 1, 2022 Accepting new patients
Family Services, Inc CurrentSince May 2, 2024 Accepting new patients
Capital Multi Health Group, Inc Psychiatric/Mental Health CurrentSince Sep 1, 2022 Accepting new patients
Family Services, Inc. CurrentSince May 2, 2024 Accepting new patients
Way Station Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
JD Nursing & Management Ser Past Accepting new patients

Locations

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

100 E Patapsco Ave
Brooklyn, MD 21225
Phone (667) 231-0317

2411 Crofton Ln
Ste 4A
Crofton, MD 21114
Phone (667) 307-4173

210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263

610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000

328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

601 E Naylor Mill Rd
Unit F
Salisbury, MD 21804
Phone (410) 546-4659

1925 Greenspring Dr
Timonium, MD 21093

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

849 Fairmount Ave
Fl 5
Towson, MD 21286

Organizations & group practices 12

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": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1679835698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 APOLLO DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217021247",
            "telephone_number": "410-699-9779",
            "fax_number": "410-699-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10490 LITTLE PATUXENT PKWY STE 600",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444941",
            "telephone_number": "240-676-7213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9030 Route 108 Ste A",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210451990",
            "country_code": "US",
            "telephone_number": "410-740-1901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANGYIE-CHE NIBA",
        "first_name": "STAR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R215105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "987384800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.